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Contact Information

REKHA MIRYALA, MD
1018 BROAD STREET
SUITE 8
BLOOMFIELD, NJ07003-2884
 Phone: 973-338-4900
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for REKHA MIRYALA · (Female)

NPI Number 1942486568
Status Active
Credentials MD
Entity Individual
Enumeration date 01/14/2008
Last updated 12/22/2010 - About 15 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA08463200
  • NJ Medicaid 0235067
Hospital affiliation(s)
  • HACKENSACK UMC MOUNTAINSIDE - (Acute Care)
    BAY AND HIGHLAND AVE
    MONTCLAIR, NJ 07042
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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