Provider Demographics
NPI:1093075715
Name:ALLY, RYAN INSHAN (MD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:INSHAN
Last Name:ALLY
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Gender:M
Credentials:MD
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Mailing Address - Street 1:2500 POCOSHOCK PL
Mailing Address - Street 2:SUITE 104
Mailing Address - City:NORTH CHESTERFIELD
Mailing Address - State:VA
Mailing Address - Zip Code:23235-6345
Mailing Address - Country:US
Mailing Address - Phone:804-276-9305
Mailing Address - Fax:804-674-4145
Practice Address - Street 1:2500 POCOSHOCK PL
Practice Address - Street 2:SUITE 104
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23235-6345
Practice Address - Country:US
Practice Address - Phone:804-276-9305
Practice Address - Fax:804-674-4145
Is Sole Proprietor?:No
Enumeration Date:2012-05-29
Last Update Date:2014-09-25
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Provider Licenses
StateLicense IDTaxonomies
VA0116024464207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine