Individual
BENEDICTO L REYES
Active
Individual
BENEDICTO L REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
01043216A
IN
2085R0202X
Diagnostic Radiology Physician
1043216
IN
2085R0204X
Vascular & Interventional Radiology Physician
01043216A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000109943
ANTHEM
IN
05
—
200142070A
—
IN
01
—
300109485
RAILROAD MEDICARE
IN
01
—
822400W
MEDICARE PTAN
IN
01
—
P00018308
RR MEDICARE PIN
—
01
—
P00018311
RR MEDICARE PIN
—
01
—
P00018312
RR MEDICARE PIN
—
01
—
P00018313
RR MEDICARE PIN
—
01
—
P00018314
RR MEDICARE PIN
—
01
—
P00018395
RR MEDICARE PIN
—
01
—
P00018401
RR MEDICARE PIN
—
01
—
P00018580
RR MEDICARE PIN
—
01
—
P00018588
RR MEDICARE PIN
—
01
—
P00021420
RR MEDICARE PIN
—
01
—
P00023111
RR MEDICARE PIN
—
01
—
P00024405
RR MEDICARE PIN
—
Enumeration date
09/19/2005
Last updated
01/13/2021
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