Healthcare Provider Details

I. General information

NPI: 1942268198
Provider Name (Legal Business Name): METROPOLITAN NEPHROLOGY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2006
Last Update Date: 08/28/2025
Certification Date: 08/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8926 WOODYARD RD STE 602
CLINTON MD
20735-4235
US

IV. Provider business mailing address

8926 WOODYARD RD STE 602
CLINTON MD
20735-4235
US

V. Phone/Fax

Practice location:
  • Phone: 301-868-9414
  • Fax: 301-868-6055
Mailing address:
  • Phone: 301-868-9414
  • Fax: 301-868-6055

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: BRIAN O'KEEFE
Title or Position: COO
Credential:
Phone: 301-868-9414