Organization
METROPOLITAN VASCULAR INSTITUTE LLC
Active
Parent organization
METROPOLITAN VASCULAR INSTITUTE LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
METROPOLITAN VASCULAR INSTITUTE LLC
Authorized official
ANISH P SHAH MD (CEO)
(703) 763-5224
Entity
Organization
Contact information
Practice address
3015 TECHNOLOGY PLACE SUITE 110, WALDORF, MD 20601
(301) 374-8540
(301) 374-8541
Mailing address
14085 CROWN CT, WOODBRIDGE, VA 22193-1458
(703) 763-5224
(703) 763-5374
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2086S0129X
Vascular Surgery Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
02/25/2021
Last updated
02/25/2021
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