Individual
DANIEL EDWIN RIEDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5565 W LAS POSITAS BLVD STE 150, PLEASANTON, CA 94588-5805
(925) 416-5460
Mailing address
5565 W LAS POSITAS BLVD STE 150, PLEASANTON, CA 94588-5805
(925) 416-5460
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
G45077
CA
207RC0000X
Cardiovascular Disease Physician
Primary
G45077
CA
207RC0001X
Clinical Cardiac Electrophysiology Physician
G45077
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11477
FIRST HEALTH PROV ID #
FL
01
—
16520
BCBS OF FL PROV ID #
FL
05
—
274946700
—
FL
01
—
3700333
CIGNA PROV ID #
FL
01
—
4131354
AETNA PROV ID #
FL
01
—
72193
UNITED H'CARE PROV ID #
FL
01
—
P00283405
RAILROAD MEDICARE
FL
Enumeration date
07/28/2005
Last updated
06/05/2023
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