Provider Demographics
NPI:1255377750
Name:REIF, ARTHUR HERMAN (MD)
Entity type:Individual
Prefix:
First Name:ARTHUR
Middle Name:HERMAN
Last Name:REIF
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:PO BOX 95220
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70195
Mailing Address - Country:US
Mailing Address - Phone:504-454-5683
Mailing Address - Fax:504-456-8195
Practice Address - Street 1:4200 HOUMA BLVD
Practice Address - Street 2:DEPARTMENT OF PATHOLOGY
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70006
Practice Address - Country:US
Practice Address - Phone:504-454-5683
Practice Address - Fax:504-456-8195
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA011468207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1398519Medicaid
54091Medicare ID - Type Unspecified
B65059Medicare UPIN