Basic Information
| Provider Information | |||||||||
| NPI: | 1639208721 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | REICHMAN | ||||||||
| FirstName: | ALEXANDRA | ||||||||
| MiddleName: | ILMA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1748 BRADLEY ESTATES DR | ||||||||
| Address2: | |||||||||
| City: | YUBA CITY | ||||||||
| State: | CA | ||||||||
| PostalCode: | 959931644 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5306716138 | ||||||||
| FaxNumber: | 5307494578 | ||||||||
| Practice Location | |||||||||
| Address1: | 726 4TH STREET | ||||||||
| Address2: | RIDEOUT MEMORIAL HOSPITAL LABORATORY | ||||||||
| City: | MARYSVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95901 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5307494467 | ||||||||
| FaxNumber: | 5307494578 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2007 | ||||||||
| LastUpdateDate: | 12/14/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | G56381 | CA | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.