Healthcare Provider Details

I. General information

NPI: 1962457853
Provider Name (Legal Business Name): PETER HOWARD RHEINSTEIN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 05/23/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

621 HOLLY RIDGE RD
SEVERNA PARK MD
21146-3520
US

IV. Provider business mailing address

621 HOLLY RIDGE RD
SEVERNA PARK MD
21146-3520
US

V. Phone/Fax

Practice location:
  • Phone: 410-647-9500
  • Fax: 410-647-6135
Mailing address:
  • Phone: 410-647-9500
  • Fax: 410-647-6135

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD16565
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD8060
License Number StateDC
# 3
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberG16665
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberD16565
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberG16665
License Number StateCA
# 6
Primary TaxonomyY
Taxonomy Code207QG0300X
TaxonomyGeriatric Medicine (Family Medicine) Physician
License NumberMD8060
License Number StateDC
# 7
Primary TaxonomyN
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License NumberD16565
License Number StateMD
# 8
Primary TaxonomyN
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License NumberMD8060
License Number StateDC
# 9
Primary TaxonomyN
Taxonomy Code208U00000X
TaxonomyClinical Pharmacology Physician
License NumberG16665
License Number StateCA
# 10
Primary TaxonomyN
Taxonomy Code209800000X
TaxonomyLegal Medicine (M.D./D.O.) Physician
License NumberD16565
License Number StateMD
# 11
Primary TaxonomyN
Taxonomy Code209800000X
TaxonomyLegal Medicine (M.D./D.O.) Physician
License NumberMD8060
License Number StateDC
# 12
Primary TaxonomyN
Taxonomy Code209800000X
TaxonomyLegal Medicine (M.D./D.O.) Physician
License NumberG16665
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: