Provider Demographics
NPI:1992591051
Name:GILLIES, RYAN JEFFREY (MD)
Entity type:Individual
Prefix:DR
First Name:RYAN
Middle Name:JEFFREY
Last Name:GILLIES
Suffix:
Gender:
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:SENTARA NORFOLK GENERAL HOSPITAL
Mailing Address - Street 2:600 GRESHAM DR, SUITE 8620
Mailing Address - City:NORFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23507
Mailing Address - Country:US
Mailing Address - Phone:757-388-6402
Mailing Address - Fax:
Practice Address - Street 1:SENTARA NORFOLK GENERAL HOSPITAL
Practice Address - Street 2:600 GRESHAM DR, SUITE 8620
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23507
Practice Address - Country:US
Practice Address - Phone:757-388-6402
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-16
Last Update Date:2025-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program