Provider Demographics
NPI:1467496331
Name:REED, ROB A (MD)
Entity Type:Individual
Prefix:
First Name:ROB
Middle Name:A
Last Name:REED
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:25700 SCIENCE PARK DR
Mailing Address - Street 2:STE 180
Mailing Address - City:BEACHWOOD
Mailing Address - State:OH
Mailing Address - Zip Code:44122-7312
Mailing Address - Country:US
Mailing Address - Phone:216-514-1199
Mailing Address - Fax:800-775-9752
Practice Address - Street 1:840 OAKWOOD BLVD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-2319
Practice Address - Country:US
Practice Address - Phone:313-359-7650
Practice Address - Fax:313-359-7660
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2020-03-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MI43010565612085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4108290Medicaid
MIH26274045Medicare PIN
MIH26272046Medicare PIN
F86679Medicare UPIN