Provider Demographics
NPI:1003848706
Name:RIEHL, MILA T (MD)
Entity Type:Individual
Prefix:DR
First Name:MILA
Middle Name:T
Last Name:RIEHL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MICHAEL
Other - Middle Name:T
Other - Last Name:RIEHL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH, FACP
Mailing Address - Street 1:2215 MALLARD LN SE
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:AL
Mailing Address - Zip Code:35601-6760
Mailing Address - Country:US
Mailing Address - Phone:256-476-4118
Mailing Address - Fax:
Practice Address - Street 1:2215 MALLARD LN SE
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:AL
Practice Address - Zip Code:35601-6760
Practice Address - Country:US
Practice Address - Phone:256-476-4118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2020-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL10920207P00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine