Organization
METROPOLITAN LIVER DISEASES GASTROENTEROLOGY CENTER
Active
Organization
METROPOLITAN LIVER DISEASES GASTROENTEROLOGY CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. VINOD KUMAR RUSTGI M.D. (PRESIDENT)
(703) 698-9254
Entity
Organization
Contact information
Practice address
8316 ARLINGTON BLVD, SUITE 515, FAIRFAX, VA 22031-5207
(703) 698-9254
(703) 698-9256
Mailing address
8316 ARLINGTON BLVD, SUITE 515, FAIRFAX, VA 22031-5207
(703) 698-9254
(703) 698-9256
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
33131
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA7118
RAILROAD MEDICARE
—
Enumeration date
02/04/2007
Last updated
10/31/2007
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