METROPOLITAN VASCULAR INSTITUTE LLC (NPI# 1093294910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093294910 |
| Entity Type | Organization |
| Organization Name | METROPOLITAN VASCULAR INSTITUTE LLC |
| Practice Address |
12070 Old Line Ctr Ste 100 Waldorf MD 20602 |
| Mailing Address |
14085 Crown Ct Woodbridge VA 22193-1458 |
| Practice Telephone | 7037635224 |
| Mailing Telephone | 7037635224 |
| Mailing Fax Number | 7037635374 |
| Enumeration Date | 2018-08-10 |
| Last Update Date | 2018-08-29 |
| Authorized Official Name | ANISH SHAH (M.D.) |
| Authorized Official Telephone | 7037635224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RN0300X |
Internal Medicine Specialization: Nephrology |
Allopathic & Osteopathic Physicians | ||
| Y | 2085R0204X |
Radiology Specialization: Vascular & Interventional Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
12070 OLD LINE CTR STE 100 |
| City | WALDORF |
| State | MD |
| Zip Code | 20602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| 1225459936 | Pain and Wellness Center of Maryland, LLC | Physical Medicine & Rehabilitation | 601 Post Office Rd Ste 2a, Waldorf, MD 20602 | 2013-12-23 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 2085R0204X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Vascular & Interventional Radiology |
| A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407465065 | A&e Ir Solutions | Radiology | 9000 Ewing Dr, Bethesda, MD 20817-3358 | 2020-07-29 |
| 1194374694 | Vascular Institute of Maryland Surgical Center, PC | Radiology | 351 W Camden St Ste 201, Baltimore, MD 21201-7912 | 2019-09-06 |
| 1386200525 | Centurion Vascular Care LLC | Radiology | 4230 Forbes Blvd Ste E, Lanham, MD 20706-4399 | 2019-05-14 |
| 1457873325 | Clinton Fibroid & Vascular LLC | Radiology | 9131 Piscataway Rd Ste 240, Clinton, MD 20735-2578 | 2017-07-12 |
| 1366848632 | Vascular Access Center of Southern Maryland LLC | Radiology | 7651 Matapeake Business Dr, Suite 101, Brandywine, MD 20613-3038 | 2014-11-13 |
| 1184034563 | Joanne Lam | Radiology | 1800 Orleans St Ste 7203, Baltimore, MD 21287-0010 | 2014-05-06 |
| 1609138668 | Elie Portnoy | Radiology | 1800 Orleans St # 7203, Baltimore, MD 21287-0010 | 2012-06-14 |
| 1992039762 | Siobhan L Mcgrane | Radiology | Dept Ir Johns Hopkins Hospital, 600 N Wolfe St, Baltimore, MD 21287-0001 | 2009-09-28 |
| 1184859589 | Akemi Miller | Radiology | 20410 Observation Dr Ste 104, Germantown, MD 20876 | 2009-05-29 |
| 1629242425 | Nelson R. De Lara | Radiology | 26 Glen Alpine Rd, Phoenix, MD 21131-2404 | 2008-04-14 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.