MEDICARE: METROPOLITAN PHYSICIANS GROUP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	207N00000X	Dermatology Physician
2	207RE0101X	Endocrinology, Diabetes & Metabolism Physician
3	207RG0100X	Gastroenterology Physician
4	207RR0500X	Rheumatology Physician
5	207V00000X	Obstetrics & Gynecology Physician
6	261QM1300X	Multi-Specialty Clinic/Center

General Provider Information

NPI Number	:	1396460770
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METROPOLITAN PHYSICIANS GROUP

Provider Business Mailing Address
First Line	:	1520 BELLE VIEW BLVD # 3121
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22307-6530
Country	:	US
Telephone Number	:	703-863-9728
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 BELLE VIEW BLVD # 3121
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22307-6530
Country	:	US
Telephone Number	:	703-863-9728
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	MATT ADAMS
Credential	:
Telephone Number	:	703-863-9728

Provider Enumeration Date	:	10/07/2022
Last Update Date	:	11/06/2022

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