Organization Active NPI

Metro Medical Clinic, Inc

  • Physical Medicine & Rehabilitation Physician
  • Washington, DC
National Provider Identifier
1306160502
Registry record updated Mar 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
MD21289 Issued in DC
Legal business name
METRO MEDICAL CLINIC, INC
Practice address
1647 Benning Rd NE
Suite 202
Washington, DC 20002-4569
Phone
(202) 398-2897
NPI assigned
Mar 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Jagdev Dhillon, MD
Title
Medical Doctor
Phone
(202) 398-2897

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH030059 DC
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X MD21289 DC Primary

Addresses

Primary practice location

1647 Benning Rd NE
Suite 202
Washington, DC 20002-4569

Mailing address

1647 Benning Rd NE
Suite 202
Washington, DC 20002-4569
Phone (202) 398-2897

National Provider Directory

National Provider Directory

Locations

1647 Benning Rd NE
Ste 202
Washington, DC 20002
Phone (202) 398-2897

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1268784000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268784000000",
    "number": "1306160502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1647 BENNING RD NE",
            "address_2": "SUITE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024569",
            "telephone_number": "202-398-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1647 BENNING RD NE",
            "address_2": "SUITE 202",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200024569",
            "telephone_number": "202-398-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METRO MEDICAL CLINIC, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-17",
        "last_updated": "2010-03-17",
        "status": "A",
        "authorized_official_last_name": "DHILLON",
        "authorized_official_first_name": "JAGDEV",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "202-398-2897",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "DC",
            "license": "CH030059",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DC",
            "license": "MD21289",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.