Healthcare Provider Details

I. General information

NPI: 1922974948
Provider Name (Legal Business Name): REKHA PAREEK MD A PROF MED CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/15/2025
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6620 COYLE AVE STE 302
CARMICHAEL CA
95608-6337
US

IV. Provider business mailing address

6620 COYLE AVE STE 302
CARMICHAEL CA
95608-6337
US

V. Phone/Fax

Practice location:
  • Phone: 916-966-8500
  • Fax: 916-966-8555
Mailing address:
  • Phone: 916-966-8500
  • Fax: 916-966-8555

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: REKHA PAREEK
Title or Position: CEO
Credential: MD
Phone: 916-320-0607