Provider Demographics
NPI:1306234638
Name:METROPOLITAN SURGICAL ASSIST
Entity type:Organization
Organization Name:METROPOLITAN SURGICAL ASSIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VINEET
Authorized Official - Middle Name:
Authorized Official - Last Name:MEHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACS
Authorized Official - Phone:703-544-8971
Mailing Address - Street 1:PO BOX 345
Mailing Address - Street 2:
Mailing Address - City:MERRIFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:22116-0345
Mailing Address - Country:US
Mailing Address - Phone:703-544-8971
Mailing Address - Fax:703-562-6994
Practice Address - Street 1:2826 OLD LEE HIGHWAY
Practice Address - Street 2:SUITE 330
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031
Practice Address - Country:US
Practice Address - Phone:703-544-8971
Practice Address - Fax:703-562-6994
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GREATER WASHINGTON PLASTIC SURGERY ASSOCIATES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-01-09
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgicalGroup - Single Specialty