Provider Demographics
NPI:1528853223
Name:METWALLY, HEBA M I (PHD, CHW)
Entity type:Individual
Prefix:DR
First Name:HEBA
Middle Name:M I
Last Name:METWALLY
Suffix:
Gender:F
Credentials:PHD, CHW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6835 MARYLAND AVE APT C
Mailing Address - Street 2:
Mailing Address - City:BRADDOCK HEIGHTS
Mailing Address - State:MD
Mailing Address - Zip Code:21714-2510
Mailing Address - Country:US
Mailing Address - Phone:301-454-9177
Mailing Address - Fax:
Practice Address - Street 1:6835 MARYLAND AVE APT C
Practice Address - Street 2:
Practice Address - City:BRADDOCK HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:21714-2510
Practice Address - Country:US
Practice Address - Phone:301-454-9177
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-12
Last Update Date:2025-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01050-22-A172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker