Provider Demographics
NPI:1699960112
Name:POPAT, VAISHALI B (MD,MPH)
Entity type:Individual
Prefix:DR
First Name:VAISHALI
Middle Name:B
Last Name:POPAT
Suffix:
Gender:F
Credentials:MD,MPH
Other - Prefix:DR
Other - First Name:VAISHALI
Other - Middle Name:
Other - Last Name:POPAT-THAKKAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD,MPH
Mailing Address - Street 1:13806 LAMBERTINA PL
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-5419
Mailing Address - Country:US
Mailing Address - Phone:301-762-5962
Mailing Address - Fax:
Practice Address - Street 1:9000 ROCKVILLE PIKE
Practice Address - Street 2:BLDG 10-CRC EAST LABS, 1-3330
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-451-0616
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-07
Last Update Date:2007-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0055259207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism