Healthcare Provider Details

I. General information

NPI: 1003027707
Provider Name (Legal Business Name): VESTA, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2007
Last Update Date: 08/20/2025
Certification Date: 08/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20410 OBSERVATION DR STE 212
GERMANTOWN MD
20876-4068
US

IV. Provider business mailing address

9301 ANNAPOLIS RD SUITE 300
LANHAM MD
20706-3125
US

V. Phone/Fax

Practice location:
  • Phone: 240-296-5862
  • Fax: 301-528-4315
Mailing address:
  • Phone: 240-296-5848
  • Fax: 301-459-9110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateMD

VIII. Authorized Official

Name: MR. JIGNESH DALAL
Title or Position: CEO
Credential: CPA
Phone: 240-296-6099