Individual
DR. REKHA KOSTECKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1550 N MILFORD RD, STE 307, MILFORD, MI 48381-1022
(248) 676-0991
(248) 676-9862
Mailing address
1550 N MILFORD RD, STE 307, MILFORD, MI 48381-1022
(248) 676-0991
(248) 676-9862
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
35.140264
OH
208000000X
Pediatrics Physician
4301055825
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
383458615
TAX ID
MI
05
—
4078235-10
—
MI
01
—
4301055825
LICENSE NUMBER
MI
Enumeration date
06/10/2006
Last updated
06/15/2022
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