Provider Demographics
NPI:1619935749
Name:REILLY, HAROLD F III (MD)
Entity Type:Individual
Prefix:DR
First Name:HAROLD
Middle Name:F
Last Name:REILLY
Suffix:III
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 1430
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22803-1430
Mailing Address - Country:US
Mailing Address - Phone:540-564-5800
Mailing Address - Fax:540-564-5801
Practice Address - Street 1:1871 EVELYN BYRD AVE
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22801
Practice Address - Country:US
Practice Address - Phone:540-564-5800
Practice Address - Fax:540-564-5801
Is Sole Proprietor?:No
Enumeration Date:2006-05-01
Last Update Date:2018-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101040631207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1619935749Medicaid
VAE69704Medicare UPIN
VA010056322Medicaid
VAP00126085OtherRAILROAD MEDICARE
VAP00126085OtherRAILROAD MEDICARE