Individual
MICHAEL A. RIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(240) 612-1560
Mailing address
1060 W PERIMETER RD, JB ANDREWS, MD 20762-6602
(240) 612-1560
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
00969
SC
207RG0100X
Gastroenterology Physician
Primary
0102202378
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1568413987
—
VA
05
—
G36606
—
SC
01
—
P00691783
RR MEDICARE
SC
Enumeration date
05/12/2006
Last updated
06/09/2022
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