Provider Demographics
NPI:1790049906
Name:RIAR, JEHAN (MD)
Entity Type:Individual
Prefix:DR
First Name:JEHAN
Middle Name:
Last Name:RIAR
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:640 S STATE ST
Mailing Address - Street 2:POB 3RD FLOOR
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-3530
Mailing Address - Country:US
Mailing Address - Phone:302-480-1688
Mailing Address - Fax:302-257-5777
Practice Address - Street 1:25 BRIDGEVILLE RD
Practice Address - Street 2:
Practice Address - City:GEORGETOWN
Practice Address - State:DE
Practice Address - Zip Code:19947-2105
Practice Address - Country:US
Practice Address - Phone:302-855-1349
Practice Address - Fax:302-855-1081
Is Sole Proprietor?:No
Enumeration Date:2012-07-02
Last Update Date:2017-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2012018187390200000X
MDD79817207R00000X
261QP2300X
DEC1-0011862207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program
No261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care