Healthcare Provider Details

I. General information

NPI: 1821298191
Provider Name (Legal Business Name): ARI REICHSTEIN MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2007
Last Update Date: 09/25/2024
Certification Date: 09/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5665 PEACHTREE DUNWOODY RD FL 1
ATLANTA GA
30342-1701
US

IV. Provider business mailing address

320 E NORTH AVE STE 261
PITTSBURGH PA
15212-4756
US

V. Phone/Fax

Practice location:
  • Phone: 678-843-6835
  • Fax:
Mailing address:
  • Phone: 412-359-3901
  • Fax: 412-359-4514

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License NumberMD456698
License Number StatePA
# 2
Primary TaxonomyY
Taxonomy Code208C00000X
TaxonomyColon & Rectal Surgery Physician
License Number101489
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: