Provider Demographics
NPI:1033978945
Name:METROPOLITAN HEALTHCARE SERVICES LLC
Entity Type:Organization
Organization Name:METROPOLITAN HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:CHEH
Authorized Official - Last Name:TAMUKONG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:301-523-6233
Mailing Address - Street 1:14101 RIVERBIRCH CT
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20707-9484
Mailing Address - Country:US
Mailing Address - Phone:301-523-6233
Mailing Address - Fax:
Practice Address - Street 1:7600 GEORGIA AVE NW STE 410
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20012-1616
Practice Address - Country:US
Practice Address - Phone:301-523-6233
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD1600XAmbulatory Health Care FacilitiesClinic/CenterDevelopmental Disabilities