Reilly, Gayatri
Reilly, Gayatri is an sole proprietor health care provider with primary practice located at 5454 Wisconsin Ave Ste 650 , Chevy Chase MD 20815-6956. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Retina Specialist, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Retina Specialist is her primary health care specialty. Reilly, Gayatri can be contacted via phone (301) 656-8100.Contact Information
Primary practice address
5454 Wisconsin Ave Ste 650
Chevy Chase MD 20815-6956
Phone: (301) 656-8100
Fax: (301) 652-2957
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | MD039183 | District of Columbia |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | 0101249358 | Virginia |
| Allopathic & Osteopathic Physicians / Retina Specialist | 207WX0107X | D0071930 | Maryland |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D0071930 | Maryland |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD039183 | District of Columbia |
Profile Details
| NPI number | 1174718456 |
|---|---|
| LBN Legal business name | Reilly, Gayatri |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 11th, 2007 |
| Last updated | Jul 21st, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174718456 | NPPES |
| Virginia | MEDICAID | 1174718456 | |
| Virginia | MEDICAID | 041285100 | |
| Virginia | MEDICAID | 590023900 |
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