Vesta, Inc. | |
20410 Observation Dr Ste 108 Germantown MD 20876-6419 | |
(240) 296-5862 | |
Not Available |
Full Name | Vesta, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 20410 Observation Dr Ste 108, Germantown, Maryland |
Authorized Official Name and Position | Jignesh Dalal (CEO) |
Authorized Official Contact | 2402966009 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vesta, Inc. 9301 Annapolis Rd Ste 300 Lanham MD 20706-3125 Ph: (240) 296-1379 | Vesta, Inc. 20410 Observation Dr Ste 108 Germantown MD 20876-6419 Ph: (240) 296-5862 |
NPI Number | 1285114207 |
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Provider Enumeration Date | 08/20/2018 |
Last Update Date | 08/20/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285114207 | NPI | - | NPPES |
741693 | Other | DC | MEDICARE |
127504602 | Medicaid | MD | |
260991607 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Maryland) | Primary |
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