Provider Demographics
NPI:1821046095
Name:RYAN, JOHN LOUIS (MD)
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:LOUIS
Last Name:RYAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 E 29TH ST
Mailing Address - Street 2:KADMON CORPORATION, LLC
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10016-8367
Mailing Address - Country:US
Mailing Address - Phone:212-308-6000
Mailing Address - Fax:
Practice Address - Street 1:450 E 29TH ST
Practice Address - Street 2:KADMON CORPORATION, LLC
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10016-8367
Practice Address - Country:US
Practice Address - Phone:212-308-6000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-04
Last Update Date:2014-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA82080207RI0200X
NY268115207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease