Provider Demographics
NPI:1346651692
Name:REILLY, PATRICK DAVID (MD)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:DAVID
Last Name:REILLY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:7631 CHEVIOT RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45247-4012
Mailing Address - Country:US
Mailing Address - Phone:513-923-1886
Mailing Address - Fax:513-923-2878
Practice Address - Street 1:7631 CHEVIOT RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45247-4012
Practice Address - Country:US
Practice Address - Phone:513-923-1886
Practice Address - Fax:513-923-2878
Is Sole Proprietor?:No
Enumeration Date:2014-05-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35130536207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine