Healthcare Provider Details

I. General information

NPI: 1932216348
Provider Name (Legal Business Name): REKHA HOTWANI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/23/2006
Last Update Date: 11/29/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

121 DEKALB AVE
BROOKLYN NY
11201-5425
US

IV. Provider business mailing address

121 DEKALB AVE
BROOKLYN NY
11201-5425
US

V. Phone/Fax

Practice location:
  • Phone: 718-250-8848
  • Fax: 718-250-8850
Mailing address:
  • Phone: 718-250-8848
  • Fax: 718-250-8850

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number002702
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: