Provider Demographics
NPI:1700244118
Name:METRO REAB, INC
Entity Type:Organization
Organization Name:METRO REAB, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JAGDEV
Authorized Official - Middle Name:
Authorized Official - Last Name:DHILLION
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-477-4331
Mailing Address - Street 1:4302 SAINT BARNABAS RD
Mailing Address - Street 2:SUITE A
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1842
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4302 SAINT BARNABAS RD
Practice Address - Street 2:SUITE A
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-1842
Practice Address - Country:US
Practice Address - Phone:240-788-6412
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-01
Last Update Date:2016-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization