Vesta, Inc. | |
20410 Observation Dr Suite 108 Germantown MD 20876-6419 | |
(240) 296-5862 | |
(301) 528-4315 |
Full Name | Vesta, Inc. |
---|---|
Speciality | Community/behavioral Health |
Location | 20410 Observation Dr, Germantown, Maryland |
Authorized Official Name and Position | Jignesh Dalal (CEO) |
Authorized Official Contact | 2402966099 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Vesta, Inc. 9301 Annapolis Rd Suite 300 Lanham MD 20706-3125 Ph: (240) 296-5848 | Vesta, Inc. 20410 Observation Dr Suite 108 Germantown MD 20876-6419 Ph: (240) 296-5862 |
NPI Number | 1306085105 |
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Provider Enumeration Date | 02/18/2009 |
Last Update Date | 05/14/2013 |
Identifier | Type | State | Issuer |
---|---|---|---|
1306085105 | NPI | - | NPPES |
741693 | Other | DC | MEDICARE |
4589 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | (Maryland) | Primary |
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