Healthcare Provider Details

I. General information

NPI: 1578656385
Provider Name (Legal Business Name): METROPOLITAN REHABILITATION MEDICINE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2006
Last Update Date: 10/30/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1160 VARNUM ST NE SUITE 1008
WASHINGTON DC
20017-2107
US

IV. Provider business mailing address

7877 HEATHERTON LN
POTOMAC MD
20854-3215
US

V. Phone/Fax

Practice location:
  • Phone: 202-526-0099
  • Fax: 202-526-3955
Mailing address:
  • Phone: 202-526-0099
  • Fax: 202-526-3955

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License NumberMD30221
License Number StateDC

VIII. Authorized Official

Name: DR. ABRAHAM T RASUL
Title or Position: MEDICAL DIRECTOR
Credential: M.D.
Phone: 202-997-6833