Provider Demographics
NPI:1700046018
Name:REIHER, ALEXANDRA EUDOKIA (MD)
Entity Type:Individual
Prefix:
First Name:ALEXANDRA
Middle Name:EUDOKIA
Last Name:REIHER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11700 W 2ND PL
Mailing Address - Street 2:STE 410
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80228-1704
Mailing Address - Country:US
Mailing Address - Phone:720-321-8460
Mailing Address - Fax:720-321-8461
Practice Address - Street 1:11700 W 2ND PL
Practice Address - Street 2:STE 410
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80228-1704
Practice Address - Country:US
Practice Address - Phone:720-321-8460
Practice Address - Fax:720-321-8461
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI52641-20207R00000X
IL036127537207RE0101X
CO55995207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO16820053Medicaid