MEDICARE: RIE AIHARA MD

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	208600000X	Surgery Physician	ME0087289	FL

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
4	P00820729	OTHER	FL	RAILROAD MEDICARE

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
2	71445	OTHER	FL	BCBS FL
3	P106362	OTHER	FL	FREEDOM HEALTH
5	P203192	OTHER	FL	FREEDOM HEALTH - OPTIMUM PROVIDER
6	223551	OTHER	FL	WELLCARE
7	7527458	OTHER	FL	CIGNA

General Provider Information

NPI Number	:	1457349003
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RIE AIHARA MD

Provider Business Mailing Address
First Line	:	2234 COLONIAL BLVD
Second Line	:	ATTN: MANAGED CARE DEPT.
City	:	FORT MYERS
State	:	FL
Zip	:	33907-1412
Country	:	US
Telephone Number	:	239-931-7342
Fax Number	:	239-931-7385

Provider Business Practice Location Address
First Line	:	8931 COLONIAL CENTER DR
Second Line	:	SUITE 301
City	:	FORT MYERS
State	:	FL
Zip	:	33905-7809
Country	:	US
Telephone Number	:	239-277-5770
Fax Number	:	239-985-1911

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/07/2005
Last Update Date	:	04/19/2016

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Directions to “ RIE AIHARA MD” Practice Location

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