Healthcare Provider Details

I. General information

NPI: 1578192092
Provider Name (Legal Business Name): MICHAELLA MARIE REIF MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2020
Last Update Date: 08/20/2026
Certification Date: 08/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1821 HILLANDALE RD STE 25A
DURHAM NC
27705-2671
US

IV. Provider business mailing address

1821 HILLANDALE RD STE 25A
DURHAM NC
27705-2671
US

V. Phone/Fax

Practice location:
  • Phone: 919-613-5707
  • Fax:
Mailing address:
  • Phone: 919-620-7300
  • Fax: 919-471-5374

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number2024-02255
License Number StateNC
# 2
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number315926
License Number StateNC
# 3
Primary TaxonomyN
Taxonomy Code207RP1001X
TaxonomyPulmonary Disease Physician
License Number2024-02255
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: