Provider Demographics
NPI:1851581870
Name:REKHA VANKINENI MD
Entity Type:Organization
Organization Name:REKHA VANKINENI MD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CPC
Authorized Official - Prefix:
Authorized Official - First Name:REKHA
Authorized Official - Middle Name:
Authorized Official - Last Name:VANKINENI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:256-704-3571
Mailing Address - Street 1:420 LOWELL DR SE STE 200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-3763
Mailing Address - Country:US
Mailing Address - Phone:256-704-3571
Mailing Address - Fax:256-704-3572
Practice Address - Street 1:420 LOWELL DR SE STE 200
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-3763
Practice Address - Country:US
Practice Address - Phone:256-704-3571
Practice Address - Fax:256-704-3572
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-07-26
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11124207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALK558Medicare PIN