Provider Demographics
NPI:1265492573
Name:REKHI, NEETA (MD)
Entity Type:Individual
Prefix:DR
First Name:NEETA
Middle Name:
Last Name:REKHI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 BEAHAN ROAD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624
Mailing Address - Country:US
Mailing Address - Phone:585-426-9930
Mailing Address - Fax:585-426-6242
Practice Address - Street 1:501 BEAHAN ROAD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624
Practice Address - Country:US
Practice Address - Phone:585-426-9930
Practice Address - Fax:585-426-6242
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-23
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1232411207R00000X
NY123241-1207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
P010123241OtherBLUE CROSS/BLUE SHIELD
NY00705000Medicaid
P010123241OtherBCBS
00705000Medicare PIN
17540BMedicare Oscar/Certification
NY00705000Medicaid