Individual
CHARLES W. REYES
Active
Individual
CHARLES W. REYES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M D
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
11189
WV
207R00000X
Internal Medicine Physician
35-05-4845R
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0556045
—
OH
05
—
084123000
—
WV
01
—
200408843
FEIN
WV
01
—
550637845
TAX ID
OH
Enumeration date
11/09/2006
Last updated
03/23/2015
Update your record
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