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1609851336

NPI Code Detail

MEDICARE: YULIYA REKHTMAN MD

MEDICARE: YULIYA REKHTMAN 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	2080P0206X	Pediatric Gastroenterology Physician	51271	SC
2	2080P0206X	Pediatric Gastroenterology Physician	D0063257	MD
3	2080P0206X	Pediatric Gastroenterology Physician	25MA12792000	NJ
4	2080P0206X	Pediatric Gastroenterology Physician	MD035516	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1609851336
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YULIYA REKHTMAN MD

Provider Business Mailing Address
First Line	:	300 E MCBEE AVE FL 4
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2842
Country	:	US
Telephone Number	:	864-522-8603
Fax Number	:

Provider Business Practice Location Address
First Line	:	14 RICHLAND MEDICAL PARK DR STE 310
Second Line	:
City	:	COLUMBIA
State	:	SC
Zip	:	29203-6883
Country	:	US
Telephone Number	:	803-434-8450
Fax Number	:	803-434-0137

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

Provider Enumeration Date	:	12/15/2005
Last Update Date	:	12/17/2025

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Directions to “ YULIYA REKHTMAN MD” Practice Location

Language	Start Address	Practice Location

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