Provider Demographics
NPI:1366453136
Name:PANDYA, REKHA MILAPCHAND (MD)
Entity Type:Individual
Prefix:DR
First Name:REKHA
Middle Name:MILAPCHAND
Last Name:PANDYA
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 1:7189 PEMBROKE ROAD
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33023
Mailing Address - Country:US
Mailing Address - Phone:954-983-1220
Mailing Address - Fax:954-987-0687
Practice Address - Street 1:7189 PEMBROKE ROAD
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33023
Practice Address - Country:US
Practice Address - Phone:954-983-1220
Practice Address - Fax:954-987-0687
Is Sole Proprietor?:No
Enumeration Date:2006-08-10
Last Update Date:2011-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME99637207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL003094200Medicaid
FLH31988Medicare UPIN