Provider Demographics
NPI:1861428393
Name:REEB, RONALD JOSEPH (MD)
Entity type:Individual
Prefix:DR
First Name:RONALD
Middle Name:JOSEPH
Last Name:REEB
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:823 SW MULVANE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:TOPEKA
Mailing Address - State:KS
Mailing Address - Zip Code:66606-1679
Mailing Address - Country:US
Mailing Address - Phone:785-234-3451
Mailing Address - Fax:785-234-2550
Practice Address - Street 1:823 SW MULVANE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:TOPEKA
Practice Address - State:KS
Practice Address - Zip Code:66606-1679
Practice Address - Country:US
Practice Address - Phone:785-234-3451
Practice Address - Fax:785-234-2550
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-181632085R0202X
NE219732085R0202X
MO20020261242085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS058740OtherBC/BS PREMIER BLUE
KSE04830Medicare UPIN
KS058740OtherBC/BS PREMIER BLUE