Provider Demographics
NPI:1134237084
Name:REUBEN, ADRIAN (MBBS, FRCP, FACG)
Entity type:Individual
Prefix:PROF
First Name:ADRIAN
Middle Name:
Last Name:REUBEN
Suffix:
Gender:M
Credentials:MBBS, FRCP, FACG
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 751461
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28275-1461
Mailing Address - Country:US
Mailing Address - Phone:843-792-6200
Mailing Address - Fax:843-792-5187
Practice Address - Street 1:171 ASHLEY AVE
Practice Address - Street 2:CSB 210, POB 250327
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29425-8908
Practice Address - Country:US
Practice Address - Phone:843-792-6901
Practice Address - Fax:843-792-5187
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SCLL25214207RG0100X
SC25214207RI0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0008XAllopathic & Osteopathic PhysiciansInternal MedicineHepatology
No207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology