Healthcare Provider Details

I. General information

NPI: 1063354108
Provider Name (Legal Business Name): VIKASH MEHAN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/07/2026
Last Update Date: 04/07/2026
Certification Date: 04/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2115 WISCONSIN AVE NW
WASHINGTON DC
20007-2265
US

IV. Provider business mailing address

2115 WISCONSIN AVE NW SUITE 200, DEPT OF PSYCHIATRY
WASHINGTON DC DC
20007
US

V. Phone/Fax

Practice location:
  • Phone: 202-944-5400
  • Fax: 855-771-6849
Mailing address:
  • Phone: 202-944-5400
  • Fax: 855-771-6849

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: