MEDICARE: REKHA PAWAR MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	35065979	OH

General Provider Information

NPI Number	:	1104838135
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REKHA PAWAR MD

Provider Business Mailing Address
First Line	:	1525 WALNUT CREEK TRAIL
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44906
Country	:	US
Telephone Number	:	419-756-2216
Fax Number	:

Provider Business Practice Location Address
First Line	:	1456 PARK AVE WEST
Second Line	:
City	:	MANSFIELD
State	:	OH
Zip	:	44906
Country	:	US
Telephone Number	:	419-529-4602
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/11/2006
Last Update Date	:	07/08/2007

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