Provider Demographics
NPI:1104268796
Name:REEBA, HARPREET (MD)
Entity type:Individual
Prefix:DR
First Name:HARPREET
Middle Name:
Last Name:REEBA
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4820 GARDEN SPRING LN
Mailing Address - Street 2:APT 201
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-7546
Mailing Address - Country:US
Mailing Address - Phone:347-791-1236
Mailing Address - Fax:
Practice Address - Street 1:13901 COALFIELD COMMONS PL
Practice Address - Street 2:SUITE 102
Practice Address - City:MIDLOTHIAN
Practice Address - State:VA
Practice Address - Zip Code:23114-1219
Practice Address - Country:US
Practice Address - Phone:804-378-0800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-23
Last Update Date:2017-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA01012609432084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1104268796Medicaid
VAVVM309AMedicare PIN