# JAMES RIELLY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1386638005
- **Gender:** Man

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208600000X | Surgery Physician | 249582 | NY | — |
| 2086S0129X | Vascular Surgery Physician | 11889299-1205 | UT | Yes |
| 2086S0129X | Vascular Surgery Physician | 83219 | SC | — |
| 2086S0129X | Vascular Surgery Physician | MD469103 | PA | — |

## Other

- **Enumeration date:** 09/08/2005
- **Last updated:** 03/14/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 832193 | — | SC |