Provider Demographics
NPI:1518277698
Name:REICHMANN, UWE (PA)
Entity Type:Individual
Prefix:MR
First Name:UWE
Middle Name:
Last Name:REICHMANN
Suffix:
Gender:M
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:129 LUBRANO DRIVE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-7567
Mailing Address - Country:US
Mailing Address - Phone:410-573-1600
Mailing Address - Fax:410-573-5841
Practice Address - Street 1:129 LUBRANO DR STE 200
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7567
Practice Address - Country:US
Practice Address - Phone:410-573-1600
Practice Address - Fax:410-573-5841
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDC01922363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC231539YEVE(862777)Medicare PIN
MD231532ZFGN(KQ95)Medicare PIN
MD231531YB7F(189210)Medicare PIN