Provider Demographics
NPI:1740415819
Name:REKHI, SATINDER SINGH JR (MD)
Entity Type:Individual
Prefix:DR
First Name:SATINDER
Middle Name:SINGH
Last Name:REKHI
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 CANTERBURY CT
Mailing Address - Street 2:
Mailing Address - City:MANORVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11949-3363
Mailing Address - Country:US
Mailing Address - Phone:617-872-1011
Mailing Address - Fax:
Practice Address - Street 1:3 CANTERBURY CT
Practice Address - Street 2:
Practice Address - City:MANORVILLE
Practice Address - State:NY
Practice Address - Zip Code:11949-3363
Practice Address - Country:US
Practice Address - Phone:617-872-1011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-05-19
Last Update Date:2015-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA096889002085R0202X, 2085U0001X, 2085R0203X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Ultrasound
No2085R0203XAllopathic & Osteopathic PhysiciansRadiologyTherapeutic Radiology