MEDICARE: DR. CHRISTINE ANN REYES 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	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	21092	NE
2	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	34444	IA
3	207ZP0213X	Pediatric Pathology Physician	21092	NE
4	207ZP0213X	Pediatric Pathology Physician	34444	IA
5	207ZP0102X	Anatomic Pathology & Clinical Pathology Physician	MD037725	DC
6	207ZP0213X	Pediatric Pathology Physician	MD037725	DC

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

General Provider Information

NPI Number	:	1780794032
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHRISTINE ANN REYES MD

Provider Business Mailing Address
First Line	:	111 MICHIGAN AVE
Second Line	:	CHILDREN'S NATIONAL MEDICAL CENTER; DIVISION OF ANATOMI
City	:	WASHINGTON
State	:	DC
Zip	:	20010
Country	:	US
Telephone Number	:	202-476-2014
Fax Number	:	202-476-4030

Provider Business Practice Location Address
First Line	:	111 MICHIGAN AVE
Second Line	:	CHILDREN'S NATIONAL MEDICAL CENTER; DIVISION OF ANATOMI
City	:	WASHINGTON
State	:	DC
Zip	:	20010
Country	:	US
Telephone Number	:	202-476-2014
Fax Number	:	202-476-4030

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

Provider Enumeration Date	:	08/30/2006
Last Update Date	:	12/18/2008

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