Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. IAN MATTHEW RIVERA, MD
Active Sole ProprietorDR. IAN MATTHEW RIVERA, MD is a Nephrology healthcare provider located in FORT GORDON, Georgia. NPI 1780830331 is currently active in the NPPES registry. Verify at CMS.
Nephrology · FORT GORDON, GA
Registration Details
- NPI Number
- 1780830331
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 14, 2008 (18.01713104827 yrs)
- Last Updated
- May 12, 2016
- Licenses
-
61853 (GA)61853 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
300 E. HOSPITAL ROADROOM 8A-30 (MCHF-M-NE)FORT GORDON, GA, 30905Browse GA providers · Browse ZIP 30905
- Phone
- 7067877665
- Fax
- 7067872326
- Primary Specialty
-
Nephrology
207RN0300X
- Additional Specialty
- Nephrology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.