Provider Demographics
NPI:1881668119
Name:DESAI, VINAY N (MD)
Entity Type:Individual
Prefix:DR
First Name:VINAY
Middle Name:N
Last Name:DESAI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:7501 GREENWAY CENTER DR
Mailing Address - Street 2:SUITE #300
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-3514
Mailing Address - Country:US
Mailing Address - Phone:301-474-4679
Mailing Address - Fax:301-474-7182
Practice Address - Street 1:600 JEFFERSON PLZ STE 320
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-1197
Practice Address - Country:US
Practice Address - Phone:301-315-2198
Practice Address - Fax:301-315-2187
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2022-07-21
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MDD0057550207W00000X, 207WX0107X
VA0101231115207W00000X, 207WX0107X
DCMD32882207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA006302050Medicaid
MD790102000Medicaid
DC024865700Medicaid
DC007474R87Medicare PIN
VA006302050Medicaid