Provider Demographics
NPI:1801800883
Name:BHOOMI, REKHA K (MD)
Entity type:Individual
Prefix:DR
First Name:REKHA
Middle Name:K
Last Name:BHOOMI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:4807 US HIGHWAY 19
Mailing Address - Street 2:STE 201
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34652-4260
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4807, US H WAY 19
Practice Address - Street 2:SUITE 201
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34652
Practice Address - Country:US
Practice Address - Phone:727-847-9505
Practice Address - Fax:727-847-9509
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2020-06-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FLME96383207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine