Provider Demographics
NPI:1558536508
Name:KEYA, ANEESA ISLAM (MD)
Entity type:Individual
Prefix:DR
First Name:ANEESA
Middle Name:ISLAM
Last Name:KEYA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:14400 QUIETWOOD TER
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-4814
Mailing Address - Country:US
Mailing Address - Phone:240-912-7771
Mailing Address - Fax:
Practice Address - Street 1:11125 ROCKVILLE PIKE STE 208
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3142
Practice Address - Country:US
Practice Address - Phone:301-881-5858
Practice Address - Fax:301-230-1233
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2025-04-18
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA01012374172084N0400X
DCMD0356462084N0400X
MDD00625782084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology