Healthcare Provider Details

I. General information

NPI: 1427440122
Provider Name (Legal Business Name): METROPOLITAN ENT HEARING AIDS AND ALLERGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/04/2015
Last Update Date: 03/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6355 WALKER LN SUITE 308
ALEXANDRIA VA
22310-3245
US

IV. Provider business mailing address

6355 WALKER LN SUITE 308
ALEXANDRIA VA
22310-3245
US

V. Phone/Fax

Practice location:
  • Phone: 703-313-7700
  • Fax: 703-313-0178
Mailing address:
  • Phone: 703-313-7700
  • Fax: 703-313-0178

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332S00000X
TaxonomyHearing Aid Equipment
License Number0101054696
License Number StateVA

VIII. Authorized Official

Name: MICHAEL ABIDIN
Title or Position: CEO
Credential: M.D.
Phone: 703-313-7700