Healthcare Provider Details

I. General information

NPI: 1669176103
Provider Name (Legal Business Name): REKHA SHRESTHA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/29/2023
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9512 HARFORD RD STE 201
BALTIMORE MD
21234-3125
US

IV. Provider business mailing address

9512 HARFORD RD STE 201
BALTIMORE MD
21234-3125
US

V. Phone/Fax

Practice location:
  • Phone: 410-882-0600
  • Fax: 410-882-2133
Mailing address:
  • Phone: 410-882-0600
  • Fax: 410-882-2133

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0107413
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: