Provider Demographics
NPI:1942268198
Name:METROPOLITAN NEPHROLOGY ASSOCIATES PC
Entity Type:Organization
Organization Name:METROPOLITAN NEPHROLOGY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:O'KEEFE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-868-9414
Mailing Address - Street 1:8926 WOODYARD RD STE 602
Mailing Address - Street 2:
Mailing Address - City:CLINTON
Mailing Address - State:MD
Mailing Address - Zip Code:20735-4235
Mailing Address - Country:US
Mailing Address - Phone:301-868-9414
Mailing Address - Fax:301-868-6055
Practice Address - Street 1:8926 WOODYARD RD STE 602
Practice Address - Street 2:
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-4235
Practice Address - Country:US
Practice Address - Phone:301-868-9414
Practice Address - Fax:301-868-6055
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-03
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD115640300Medicaid
MDG01712Medicare PIN