Provider Demographics
NPI:1497438352
Name:SHENOY, REKHA
Entity Type:Individual
Prefix:MS
First Name:REKHA
Middle Name:
Last Name:SHENOY
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:REKHA
Other - Middle Name:
Other - Last Name:SINGH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10751 STONEY POINT DR
Mailing Address - Street 2:
Mailing Address - City:SOUTH LYON
Mailing Address - State:MI
Mailing Address - Zip Code:48178-9820
Mailing Address - Country:US
Mailing Address - Phone:734-925-1433
Mailing Address - Fax:
Practice Address - Street 1:51229 CENTURY CT
Practice Address - Street 2:
Practice Address - City:WIXOM
Practice Address - State:MI
Practice Address - Zip Code:48393-2074
Practice Address - Country:US
Practice Address - Phone:248-529-1008
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-08
Last Update Date:2023-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator