MEDICARE: REETHIKA SANKAR M.D.

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	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1417886839
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REETHIKA SANKAR M.D.

Provider Business Mailing Address
First Line	:	2600 6TH ST. S.W.
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44710-1702
Country	:	US
Telephone Number	:	330-363-9911
Fax Number	:	330-580-5513

Provider Business Practice Location Address
First Line	:	2600 6TH ST. S.W.
Second Line	:
City	:	CANTON
State	:	OH
Zip	:	44710-1702
Country	:	US
Telephone Number	:	330-363-9911
Fax Number	:	330-580-5513

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

Provider Enumeration Date	:	05/14/2026
Last Update Date	:	05/14/2026

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