Provider Demographics
NPI:1407931470
Name:ALAN J. REIS MD PC
Entity Type:Organization
Organization Name:ALAN J. REIS MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ALAN
Authorized Official - Middle Name:J
Authorized Official - Last Name:REIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:412-682-3003
Mailing Address - Street 1:540 N NEVILLE ST
Mailing Address - Street 2:SUITE 104
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2853
Mailing Address - Country:US
Mailing Address - Phone:412-682-3003
Mailing Address - Fax:412-918-2334
Practice Address - Street 1:540 N NEVILLE ST
Practice Address - Street 2:SUITE 104
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2853
Practice Address - Country:US
Practice Address - Phone:412-682-3003
Practice Address - Fax:412-918-2334
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2084F0202XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyForensic PsychiatryGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PAG71545Medicare UPIN
PA024322Medicare ID - Type Unspecified