Provider Demographics
NPI:1497908560
Name:KESAVAN, REKHA (MD)
Entity Type:Individual
Prefix:DR
First Name:REKHA
Middle Name:
Last Name:KESAVAN
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:COMPREHENSIVE PRIMARY CARE, LLC
Mailing Address - Street 2:3905 JOHNS CREEK COURT, SUITE 200
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024
Mailing Address - Country:US
Mailing Address - Phone:678-888-2273
Mailing Address - Fax:678-888-2200
Practice Address - Street 1:COMPREHENSIVE PRIMARY CARE, LLC
Practice Address - Street 2:761 WALTHER TOAD, SUITE 200
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046
Practice Address - Country:US
Practice Address - Phone:678-888-2273
Practice Address - Fax:678-888-2200
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-02
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA066196207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty