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NPI Code Detail

MEDICARE: VESTA, INC.

MEDICARE: VESTA, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1251S00000XCommunity/Behavioral Health AgencyMD

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
3949LOTHERMDMEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1053891135
Entity Type Code : Organization
Provider Name (Legal Business Name) : VESTA, INC.
Provider Business Mailing Address
First Line : 9301 ANNAPOLIS RD STE 300
Second Line :
City : LANHAM
State : MD
Zip : 20706-3125
Country : US
Telephone Number : 240-296-1379
Fax Number :
Provider Business Practice Location Address
First Line : 8141 TELEGRAPH RD
Second Line : SUITES E, F & G
City : SEVERN
State : MD
Zip : 21144-3256
Country : US
Telephone Number : 240-296-1370
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. JIGNESH DALAL
Credential : CPA
Telephone Number : 240-296-6099
Provider Enumeration Date : 08/17/2018
Last Update Date : 03/13/2026

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Directions to “VESTA, INC. ” Practice Location

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