Provider Demographics
NPI:1992758908
Name:GHEYI, VINAY K (MD)
Entity type:Individual
Prefix:
First Name:VINAY
Middle Name:K
Last Name:GHEYI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4755 OGLETOWN STANTON RD
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-2200
Mailing Address - Country:US
Mailing Address - Phone:302-234-5800
Mailing Address - Fax:302-234-2380
Practice Address - Street 1:5936 LIMESTONE RD
Practice Address - Street 2:SUITE 301
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8905
Practice Address - Country:US
Practice Address - Phone:302-234-5800
Practice Address - Fax:302-234-2380
Is Sole Proprietor?:No
Enumeration Date:2006-05-19
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEC1-00077552085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE1000040297Medicaid
P00340065OtherRAILROAD MEDICARE #
P00340065OtherRAILROAD MEDICARE #
DE019542X32Medicare PIN
DE019543X70Medicare PIN