Provider Demographics
NPI:1023264702
Name:REKHI & REKHI PHYSICIANS PC
Entity type:Organization
Organization Name:REKHI & REKHI PHYSICIANS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIJ
Authorized Official - Middle Name:
Authorized Official - Last Name:REKHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:585-723-0030
Mailing Address - Street 1:1561 LONG POND RD
Mailing Address - Street 2:SUITE 411
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14626-4117
Mailing Address - Country:US
Mailing Address - Phone:585-426-9930
Mailing Address - Fax:585-426-6242
Practice Address - Street 1:1561 LONG POND RD
Practice Address - Street 2:SUITE 411
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14626-4117
Practice Address - Country:US
Practice Address - Phone:585-426-9930
Practice Address - Fax:585-426-6242
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-08-13
Last Update Date:2015-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY121758207Y00000X
NY123241207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY000523898002OtherBLUE SHIELD OF WESTERN NY
NY3262OtherBLUE SHIELD OF ROCHESTER
0812OtherBLUE SHIELD OF ROCHESTER
NYP010121758OtherBLUE CHOICE
NY102221CWOtherPREFERRED CARE
NYP010123241OtherBLUE CHOICE
NY00450817Medicaid
NY00705000Medicaid
NY100715BJOtherPREFERRED CARE