Rekhala, Vijay Kumar
Rekhala, Vijay Kumar is an sole proprietor health care provider with primary practice located at 1705 Warren Ave Suite 209, Williamsport PA 17701-2647. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Rekhala, Vijay Kumar can be contacted via phone (570) 326-1283.Contact Information
Primary practice address
1705 Warren Ave Suite 209
Williamsport PA 17701-2647
Phone: (570) 326-1283
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | MD029239E | Pennsylvania |
Profile Details
| NPI number | 1821011164 |
|---|---|
| LBN Legal business name | Rekhala, Vijay Kumar |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 26th, 2006 |
| Last updated | Jan 5th, 2017 - about 8 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 | 1821011164 | NPPES |
| Pennsylvania | Other | 432264 | BLUE SHIELD |
| Pennsylvania | MEDICAID | 0009159600001 | BLUE SHIELD |
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