Provider Demographics
NPI:1386641942
Name:RIOU, JEAN-PIERRE ALAIN (MD)
Entity Type:Individual
Prefix:
First Name:JEAN-PIERRE
Middle Name:ALAIN
Last Name:RIOU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19615 LIVERPOOL PKWY
Mailing Address - Street 2:STE A
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-4075
Mailing Address - Country:US
Mailing Address - Phone:704-896-5806
Mailing Address - Fax:704-896-5809
Practice Address - Street 1:19615 LIVERPOOL PKWY
Practice Address - Street 2:STE A
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-4075
Practice Address - Country:US
Practice Address - Phone:704-896-5806
Practice Address - Fax:704-896-5809
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9400998174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCF90664Medicare UPIN