Healthcare Provider Details

I. General information

NPI: 1174996748
Provider Name (Legal Business Name): METRO HEALTH SERVICES PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/04/2015
Last Update Date: 06/16/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3327 DUKE ST
ALEXANDRIA VA
22314-4597
US

IV. Provider business mailing address

3327 DUKE ST
ALEXANDRIA VA
22314-4597
US

V. Phone/Fax

Practice location:
  • Phone: 202-846-1412
  • Fax:
Mailing address:
  • Phone: 202-846-1412
  • Fax: 202-846-1418

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number101245894
License Number StateVA
# 3
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License NumberMD33401
License Number StateDC

VIII. Authorized Official

Name: DR. HENGAMEH ALLEN-SCHAAL
Title or Position: DIRECTOR OF CLINICAL OPERATIONS
Credential: PH.D., MPH
Phone: 202-846-1412