Healthcare Provider Details

I. General information

NPI: 1699727313
Provider Name (Legal Business Name): ALLAN REIER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/17/2006
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8433 HARCOURT RD STE 100
INDIANAPOLIS IN
46260-2193
US

IV. Provider business mailing address

L-3549
COLUMBUS OH
43260-0001
US

V. Phone/Fax

Practice location:
  • Phone: 317-583-7600
  • Fax:
Mailing address:
  • Phone: 740-383-7927
  • Fax: 740-383-7942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number01072919A
License Number StateIN
# 2
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number35076942R
License Number StateOH
# 3
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberMD-24414
License Number StateHI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: