MEDICARE: CAROLINE A REICH MD PC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0202X	Diagnostic Radiology Physician	22685	AL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1982882270
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAROLINE A REICH MD PC

Provider Business Mailing Address
First Line	:	2000A SOUTHBRIDGE PARKWAY
Second Line	:	SUITE 300
City	:	BIRMINGHAM
State	:	AL
Zip	:	35209
Country	:	US
Telephone Number	:	205-871-4274
Fax Number	:

Provider Business Practice Location Address
First Line	:	3634 MONTEVALLO ROAD
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35213
Country	:	US
Telephone Number	:	205-871-4274
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CAROLINE A REICH
Credential	:	MD
Telephone Number	:	205-871-4274

Provider Enumeration Date	:	02/08/2008
Last Update Date	:	02/08/2008

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