Healthcare Provider Details

I. General information

NPI: 1083901524
Provider Name (Legal Business Name): TISHA C REKHI DDS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/05/2011
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

757 GRAHAM RD STE 1
CUYAHOGA FALLS OH
44221-1057
US

IV. Provider business mailing address

17395 LOOKOUT DR
CHAGRIN FALLS OH
44023-2135
US

V. Phone/Fax

Practice location:
  • Phone: 330-922-0808
  • Fax:
Mailing address:
  • Phone: 206-714-5024
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code122300000X
TaxonomyDentist
License NumberDE60236340
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: