Individual
REKHA CHERUVATTATH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
8120 TIMBERLAKE WAY STE 101, SACRAMENTO, CA 95823-5413
(916) 681-6159
(916) 689-4095
Mailing address
3400 DATA DR, RANCHO CORDOVA, CA 95670-7956
(916) 861-1486
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
A107830
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DJ816Z
PTAN
CA
05
—
ZZZ80876Z
—
CA
Enumeration date
12/05/2005
Last updated
03/13/2020
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