Healthcare Provider Details

I. General information

NPI: 1194961672
Provider Name (Legal Business Name): WASHINGTON METROPOLITAN CARDIOLOGY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/05/2009
Last Update Date: 01/05/2009
Certification Date: WASHINGTON METROPOLITAN CARDIOLOGY, INC 611 S CARLIN SPRINGS RD ARLINGTON VA 22204 611 S CARLIN SPRINGS RD ARLINGTON VA 22204
Deactivation Date:
Reactivation Date:

III. Provider practice location address

611 S CARLIN SPRINGS RD SUITE 201
ARLINGTON VA
22204-1064
US

IV. Provider business mailing address

611 S CARLIN SPRINGS RD SUITE 201
ARLINGTON VA
22204-1064
US

V. Phone/Fax

Practice location:
  • Phone: 703-933-0700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease
License Number0101052178
License Number StateVA

VIII. Authorized Official

Name: HASTANA RASOULY
Title or Position: OFFICE MANAGER
Credential:
Phone: 703-933-0700