Provider Demographics
NPI:1427440122
Name:METROPOLITAN ENT HEARING AIDS AND ALLERGY LLC
Entity type:Organization
Organization Name:METROPOLITAN ENT HEARING AIDS AND ALLERGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:ABIDIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:703-313-7700
Mailing Address - Street 1:6355 WALKER LN
Mailing Address - Street 2:SUITE 308
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22310-3245
Mailing Address - Country:US
Mailing Address - Phone:703-313-7700
Mailing Address - Fax:703-313-0178
Practice Address - Street 1:6355 WALKER LN
Practice Address - Street 2:SUITE 308
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22310-3245
Practice Address - Country:US
Practice Address - Phone:703-313-7700
Practice Address - Fax:703-313-0178
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-04
Last Update Date:2015-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101054696332S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332S00000XSuppliersHearing Aid Equipment