| D E Riley Md Llc | |
|
4829 Galaxy Pkwy Warrensville Heights OH 44128-5900 | |
| (216) 288-2220 | |
| Not Available |
| Full Name | D E Riley Md Llc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 4829 Galaxy Pkwy, Warrensville Heights, Ohio |
| Authorized Official Name and Position | David E Riley (OWNER) |
| Authorized Official Contact | 2162882220 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| D E Riley Md Llc 4829 Galaxy Pkwy Warrensville Heights OH 44128-5900 Ph: () - | D E Riley Md Llc 4829 Galaxy Pkwy Warrensville Heights OH 44128-5900 Ph: (216) 288-2220 |
| NPI Number | 1457767675 |
|---|---|
| Provider Enumeration Date | 07/08/2014 |
| Last Update Date | 07/08/2014 |
| Medicare PECOS PAC ID | 0648497057 |
|---|---|
| Medicare Enrollment ID | O20140808000263 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457767675 | NPI | - | NPPES |
| 0699721 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084N0400X | Psychiatry & Neurology - Neurology | (* (Not Available)) | Primary |
| Provider Name | David E Riley |
|---|---|
| Provider Type | Practitioner - Neurology |
| Provider Identifiers | NPI Number: 1568481976 PECOS PAC ID: 2769581735 Enrollment ID: I20070618000030 |
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