Provider Demographics
NPI:1699855312
Name:REIHMAN, DANA H (MD)
Entity Type:Individual
Prefix:MR
First Name:DANA
Middle Name:H
Last Name:REIHMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6970 E CHAUNCEY LN STE 100
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85054-5158
Mailing Address - Country:US
Mailing Address - Phone:602-788-7211
Mailing Address - Fax:765-983-3207
Practice Address - Street 1:6970 E CHAUNCEY LN
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85054-5157
Practice Address - Country:US
Practice Address - Phone:602-788-7211
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-17
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZTP01378207RP1001X
IN01029538207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN100235850Medicaid
000000085723OtherBLUE CROSS
IN300024227Medicaid
017239800OtherBLACK LUNG
OH0690391Medicaid
IN100235850AMedicaid
110011161OtherRAILROAD MEDICARE
IN300021715Medicaid
I006502OtherCHAMPUS