| Vesta, Inc. | |
|
9301 Annapolis Rd Suite 100 Lanham MD 20706-3133 | |
| (240) 296-6300 | |
| (301) 459-4856 |
| Full Name | Vesta, Inc. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 9301 Annapolis Rd, Lanham, 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. 9301 Annapolis Rd Suite 100 Lanham MD 20706-3133 Ph: (240) 296-6300 |
| NPI Number | 1083824437 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 05/14/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083824437 | NPI | - | NPPES |
| 260991601 | Medicaid | MD | |
| 741693 | Other | DC | MEDICARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 4630 (Maryland) | Primary |
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