Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 35-060786 | OH |
N | 111NI0900X | Internist | 35-060786 | OH |
Y | 207RN0300X | Nephrologist | 35-060786 | OH |
NPI | 1073571972 |
---|---|
Provider Name | Max Christopher Reif |
First Address | Cincinnati, OH 45263-6256 |
Second Address | Cincinnati, OH 45219-2399 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2006 |
Last Update Date | 17/08/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0810680 | (05) | OH |
100350130 | (05) | IN |
390003119 | RAIL ROAD MEDICARE (01) | OH |
64865793 | (05) | KY |
C76964 | (02) |