The moral of the story today is beware of servers that have had a long history of changing networking configurations and network interfaces, as you never know what you are going to run into.
While working on a RHEL 5.4 box and attempting to make few minor changes to eth4 and up the interface, I was smacked with the error below.
e1000 device eth4 does not seem to be present, delaying initialization
So first i hit up /etc/modprobe.conf and verifed that the correct driver module was being aliased for the interface.
alias eth4 e1000
Ok check. Modprobe.conf looks good.
Now re-initialize driver
modprobe eth100
Then onto check lspci to make sure that the driver initialized all the interfaces. Note that there are two different versions of the 82546EB driver, which tells me that the driver was only initialized for two of the interfaces initially.
Turned my attention back to the ifconfig-eth4 and the fact that there was not a MAC address defined in the config file. Grabbed the mac address out of /etc/sysconfig/hwconf and added it to the ifconfig-eth4 config file