Provider Demographics
NPI:1730252438
Name:METRO ASTHMA AND ALLERGY CENTERS LLC
Entity type:Organization
Organization Name:METRO ASTHMA AND ALLERGY CENTERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ASEK
Authorized Official - Middle Name:
Authorized Official - Last Name:MAKIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-324-7338
Mailing Address - Street 1:PO BOX 429
Mailing Address - Street 2:
Mailing Address - City:BURTONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20866-0429
Mailing Address - Country:US
Mailing Address - Phone:301-324-3558
Mailing Address - Fax:
Practice Address - Street 1:10274 LAKE ARBOR WAY STE 201
Practice Address - Street 2:
Practice Address - City:MITCHELLVILLE
Practice Address - State:MD
Practice Address - Zip Code:20721-3146
Practice Address - Country:US
Practice Address - Phone:301-324-3558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-17
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & ImmunologyGroup - Single Specialty