Provider Demographics
NPI:1962457853
Name:RHEINSTEIN, PETER HOWARD (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:HOWARD
Last Name:RHEINSTEIN
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 1:621 HOLLY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:SEVERNA PARK
Mailing Address - State:MD
Mailing Address - Zip Code:21146-3520
Mailing Address - Country:US
Mailing Address - Phone:410-647-9500
Mailing Address - Fax:410-647-6135
Practice Address - Street 1:621 HOLLY RIDGE RD
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-3520
Practice Address - Country:US
Practice Address - Phone:410-647-9500
Practice Address - Fax:410-647-6135
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD16565207Q00000X, 207QG0300X, 208U00000X, 209800000X
DCMD8060207Q00000X, 207QG0300X, 208U00000X, 209800000X
CAG16665207Q00000X, 207QG0300X, 208U00000X, 209800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Not Answered207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine
Not Answered208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology
Not Answered209800000XAllopathic & Osteopathic PhysiciansLegal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD6991Medicare ID - Type Unspecified
MDB69707Medicare UPIN