Provider Demographics
NPI:1538227640
Name:SHENOY, REKHA
Entity type:Individual
Prefix:
First Name:REKHA
Middle Name:
Last Name:SHENOY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1420 W MOCKINGBIRD LN
Mailing Address - Street 2:SUITE 500
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75247-4931
Mailing Address - Country:US
Mailing Address - Phone:214-630-7080
Mailing Address - Fax:
Practice Address - Street 1:825 N MCDONALD ST
Practice Address - Street 2:SUITE B
Practice Address - City:MCKINNEY
Practice Address - State:TX
Practice Address - Zip Code:75069-2141
Practice Address - Country:US
Practice Address - Phone:214-629-5304
Practice Address - Fax:972-548-5591
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX223791223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice