Healthcare Provider Details

I. General information

NPI: 1912954314
Provider Name (Legal Business Name): METRO INFECTIOUS DISEASE CONSULTANTS ,PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 06/30/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10110 MOLECULAR DRIVE SUITE 105
ROCKVILLE MD
20850
US

IV. Provider business mailing address

10110 MOLECULAR DRIVE SUITE 105
ROCKVILLE MD
20850
US

V. Phone/Fax

Practice location:
  • Phone: 301-605-7468
  • Fax: 301-605-7469
Mailing address:
  • Phone: 301-605-7468
  • Fax: 301-605-7469

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RI0200X
TaxonomyInfectious Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SAMEH A ALY
Title or Position: OWNER/MANAGER
Credential: MD
Phone: 301-605-7468