Individual
RICHARD REIFENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1522 W MORRIS ST, INDIANAPOLIS, IN 46221-1629
(317) 488-2020
(317) 488-2031
Mailing address
3401 E RAYMOND ST, INDIANAPOLIS, IN 46203-4744
(317) 788-9769
(317) 781-4868
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01047123A
IN
208000000X
Pediatrics Physician
01047123A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200261630A
—
IN
Enumeration date
10/06/2005
Last updated
07/19/2011
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