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Individual

DR. AVIN D REKHI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
813 FOUNDERS PARK DR E, SPRINGDALE, AR 72762-6314
(479) 463-2440
(479) 463-2465
Mailing address
PO BOX 550, LOWELL, AR 72745-0550
(479) 463-7775
(479) 463-7187

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
235081
NY
207RN0300X
Nephrology Physician
Primary
E-2877
AR

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000165018
EXCELLUS PROVIDER NUMBER
NY
05
02630835
NY
05
164498001
AR
05
200116080A
OK
01
5N826
AR BCBS
AR
01
P00400596
RR MCR
AR
Enumeration date
11/18/2005
Last updated
11/06/2013
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