Individual
DR. VIJAY KUMAR REKHALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1705 WARREN AVE, SUITE 209, WILLIAMSPORT, PA 17701-2647
(570) 326-1283
Mailing address
1774 MCCONNELL DR, WILLIAMSPORT, PA 17701-9300
(570) 326-1283
(570) 326-0391
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
MD029239E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009159600001
—
PA
01
—
432264
BLUE SHIELD
PA
Enumeration date
07/26/2006
Last updated
01/05/2017
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