Healthcare Provider Details

I. General information

NPI: 1992961320
Provider Name (Legal Business Name): METROPOLITAN MEDICAL GROUP, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2008
Last Update Date: 08/05/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

704 FITZHUGH WAY
ALEXANDRIA VA
22314-6209
US

IV. Provider business mailing address

704 FITZHUGH WAY
ALEXANDRIA VA
22314-6209
US

V. Phone/Fax

Practice location:
  • Phone: 703-919-5811
  • Fax: 202-373-5848
Mailing address:
  • Phone: 703-919-5811
  • Fax: 202-373-5848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: DR. MANISHA SINGAL
Title or Position: PHYSICIAN
Credential: M.D.
Phone: 703-919-5811