Individual
GAYATRI REILLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5454 WISCONSIN AVE STE 650, CHEVY CHASE, MD 20815-6956
(301) 656-8100
(301) 652-2957
Mailing address
7501 GREENWAY CENTER DR, SUITE 300, GREENBELT, MD 20770-3514
(301) 474-4679
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
D0071930
MD
207W00000X
Ophthalmology Physician
MD039183
DC
207WX0107X
Retina Specialist (Ophthalmology) Physician
0101249358
VA
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
D0071930
MD
207WX0107X
Retina Specialist (Ophthalmology) Physician
MD039183
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
041285100
—
DC
05
—
1174718456
—
VA
05
—
590023900
—
MD
Enumeration date
09/11/2007
Last updated
07/21/2022
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