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NPI Code Detail

MEDICARE: MS. REKHA SHENOY

MEDICARE: MS. REKHA SHENOY
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1497438352
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. REKHA SHENOY
Provider Business Mailing Address
First Line : 10751 STONEY POINT DR
Second Line :
City : SOUTH LYON
State : MI
Zip : 48178-9820
Country : US
Telephone Number : 734-925-1433
Fax Number :
Provider Business Practice Location Address
First Line : 51229 CENTURY CT
Second Line :
City : WIXOM
State : MI
Zip : 48393-2074
Country : US
Telephone Number : 248-529-1008
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/08/2023
Last Update Date : 08/08/2023

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Directions to “ MS. REKHA SHENOY ” Practice Location

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