=====================================================
General NPI Number Information
=====================================================
NPI Number | 1477632230
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | METROPOLITAN CARDIOVASCULAR
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/03/2006
-----------------------------------------------------
Last Update Date | 05/30/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10756 RHODE ISLAND AVE
-----------------------------------------------------
City | BELTSVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20705-2513
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-595-0356
-----------------------------------------------------
Fax | 301-595-1069
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 1234
-----------------------------------------------------
City | LAUREL
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20725-1234
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-595-0356
-----------------------------------------------------
Fax | 301-595-1069
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | DR. AYIM KWASI AKYEA DJAMSON
-----------------------------------------------------
Credential | MD FACC
-----------------------------------------------------
Telephone | 301-595-0356
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | D0050898
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------