Provider Demographics
NPI:1417451758
Name:REIM, KATHERINE PATRICIA (MD)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:PATRICIA
Last Name:REIM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:PATRICIA
Other - Last Name:ZIMMERMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:100A DRAKES LANDING RD STE 225
Mailing Address - Street 2:
Mailing Address - City:GREENBRAE
Mailing Address - State:CA
Mailing Address - Zip Code:94904-3119
Mailing Address - Country:US
Mailing Address - Phone:415-461-7800
Mailing Address - Fax:
Practice Address - Street 1:100A DRAKES LANDING RD STE 225
Practice Address - Street 2:
Practice Address - City:GREENBRAE
Practice Address - State:CA
Practice Address - Zip Code:94904-3119
Practice Address - Country:US
Practice Address - Phone:415-461-7800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-21
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA163981207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology