Healthcare Provider Details

I. General information

NPI: 1003908914
Provider Name (Legal Business Name): METROPOLITAN PEDIATRICS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3801 FAIRFAX DR STE#44
ARLINGTON VA
22203-1762
US

IV. Provider business mailing address

3801 FAIRFAX DR STE#44
ARLINGTON VA
22203-1762
US

V. Phone/Fax

Practice location:
  • Phone: 703-522-4780
  • Fax: 703-527-8695
Mailing address:
  • Phone: 703-522-4780
  • Fax: 703-527-8695

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number0101232755
License Number StateVA

VIII. Authorized Official

Name: DR. HIREN GANDHI I
Title or Position: OWNER
Credential: MD
Phone: 703-522-4780