Provider Demographics
NPI:1356180137
Name:METROPOLITAN CARDIOVASCULAR
Entity type:Organization
Organization Name:METROPOLITAN CARDIOVASCULAR
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AYIM
Authorized Official - Middle Name:KWASI
Authorized Official - Last Name:AKYEA DJAMSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-595-0356
Mailing Address - Street 1:PO BOX 1234
Mailing Address - Street 2:
Mailing Address - City:LAUREL
Mailing Address - State:MD
Mailing Address - Zip Code:20725-1234
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:10806 HICKORY RIDGE RD 201
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3622
Practice Address - Country:US
Practice Address - Phone:410-715-9990
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:METROPOLITAN CARDIOVASCULAR
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2024-05-22
Last Update Date:2024-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty