Provider Demographics
NPI:1619945102
Name:MOUNTAIN VIEW CARDIOLOGY PC
Entity Type:Organization
Organization Name:MOUNTAIN VIEW CARDIOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:C.E.O.
Authorized Official - Prefix:DR
Authorized Official - First Name:ALLAN
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:REINFELD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-860-4040
Mailing Address - Street 1:9755 N 90TH ST
Mailing Address - Street 2:SUITE # A-205
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-5046
Mailing Address - Country:US
Mailing Address - Phone:480-860-4040
Mailing Address - Fax:
Practice Address - Street 1:9755 N 90TH ST
Practice Address - Street 2:SUITE # A-205
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-5046
Practice Address - Country:US
Practice Address - Phone:480-860-4040
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-09
Last Update Date:2008-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZAZ15900207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ278342Medicaid
AZ278342Medicaid
AZZ21107Medicare PIN