Provider Demographics
NPI:1447246566
Name:REICH, PATIENCE EKUATINNE (MD)
Entity type:Individual
Prefix:
First Name:PATIENCE
Middle Name:EKUATINNE
Last Name:REICH
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:PATIENCE
Other - Middle Name:R
Other - Last Name:AGBORBESONG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:336-474-3444
Mailing Address - Fax:336-277-9183
Practice Address - Street 1:207 OLD LEXINGTON RD
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-3428
Practice Address - Country:US
Practice Address - Phone:336-474-3444
Practice Address - Fax:336-277-9183
Is Sole Proprietor?:No
Enumeration Date:2005-09-23
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200001049207R00000X
NC20000-1049208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
136T7OtherBCBS
7135167OtherAETNA
D4333OtherMEDCOST
NC89136T7Medicaid
SCQ01049Medicaid
VA10082170Medicaid
WV3810000417Medicaid
38513OtherPARTNERS
WV3810000417Medicaid
NC2281071BMedicare ID - Type Unspecified