Provider Demographics
NPI:1427144989
Name:RIEUX, SHERRIL MARIE (MD)
Entity type:Individual
Prefix:DR
First Name:SHERRIL
Middle Name:MARIE
Last Name:RIEUX
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:9001 WILSHIRE BLVD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-1840
Mailing Address - Country:US
Mailing Address - Phone:310-623-1248
Mailing Address - Fax:310-623-1257
Practice Address - Street 1:9001 WILSHIRE BLVD
Practice Address - Street 2:SUITE 203
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-1840
Practice Address - Country:US
Practice Address - Phone:310-623-1248
Practice Address - Fax:310-623-1257
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-04
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAA-048881207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF11878Medicare UPIN
CAA48881Medicare ID - Type Unspecified