Provider Demographics
NPI:1063612166
Name:VANIKAR, DIPTI JAY (MD)
Entity type:Individual
Prefix:MRS
First Name:DIPTI
Middle Name:JAY
Last Name:VANIKAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MISS
Other - First Name:DIPTI
Other - Middle Name:
Other - Last Name:PRAKASH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2101 EAST JEFFERSON STREET
Mailing Address - Street 2:MAPMG
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852
Mailing Address - Country:US
Mailing Address - Phone:800-227-6472
Mailing Address - Fax:
Practice Address - Street 1:110 IRVING STREET, NW
Practice Address - Street 2:WASHINGTON HOSPITAL CENTER
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20010
Practice Address - Country:US
Practice Address - Phone:844-333-3627
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-07-18
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD044959207R00000X
VA0101252659207R00000X
MDD73218207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine