Provider Demographics
NPI:1619049053
Name:PARAMESWARAN, REKHA (MD)
Entity type:Individual
Prefix:DR
First Name:REKHA
Middle Name:
Last Name:PARAMESWARAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1275 YORK AVE
Mailing Address - Street 2:HOWARD 713
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10065-6007
Mailing Address - Country:US
Mailing Address - Phone:212-639-4812
Mailing Address - Fax:212-639-4819
Practice Address - Street 1:1275 YORK AVE
Practice Address - Street 2:HOWARD 713
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10065-6007
Practice Address - Country:US
Practice Address - Phone:212-639-4812
Practice Address - Fax:212-639-4819
Is Sole Proprietor?:No
Enumeration Date:2006-11-14
Last Update Date:2015-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01057689207RH0000X
NY256260207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
No207RH0000XAllopathic & Osteopathic PhysiciansInternal MedicineHematology
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN090730JMedicare ID - Type UnspecifiedMEDICARE