Provider Demographics
NPI:1134259369
Name:EISENSTEIN, RINA (MD)
Entity type:Individual
Prefix:DR
First Name:RINA
Middle Name:
Last Name:EISENSTEIN
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 1:215 ARBOR CREEK WAY
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076-1291
Mailing Address - Country:US
Mailing Address - Phone:404-324-7870
Mailing Address - Fax:
Practice Address - Street 1:215 ARBOR CREEK WAY
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-1291
Practice Address - Country:US
Practice Address - Phone:404-324-7870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA058466207QG0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QG0300XAllopathic & Osteopathic PhysiciansFamily MedicineGeriatric Medicine