Miryala, Rekha
Miryala, Rekha is an individual health care provider with primary practice located at 1018 Broad Street Suite 8, Bloomfield NJ 07003-2884. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Miryala, Rekha can be contacted via phone (973) 338-4900.Contact Information
Primary practice address
1018 Broad Street Suite 8
Bloomfield NJ 07003-2884
Phone: (973) 338-4900
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 25MA08463200 | New Jersey |
Profile Details
| NPI number | 1942486568 |
|---|---|
| LBN Legal business name | Miryala, Rekha |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2008 |
| Last updated | Dec 22nd, 2010 - about 15 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942486568 | NPPES |
| New Jersey | MEDICAID | 0235067 |
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