Riley, Celeste Rita

Riley, Celeste Rita is an sole proprietor health care provider with primary practice located at 1850 Town Center Pkwy , Reston VA 20190-3204. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is her primary health care specialty. Riley, Celeste Rita can be contacted via phone (703) 689-9093.

Contact Information

Primary practice address
1850 Town Center Pkwy Reston VA 20190-3204
Phone: (703) 689-9093
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0101230748 Virginia
Other Service Providers / Specialist 174400000X D0057312 Maryland
Other Service Providers / Specialist 174400000X MD073754L Pennsylvania
Other Service Providers / Specialist 174400000X 053710 Georgia
Other Service Providers / Specialist 174400000X MD21603 District of Columbia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 0101230748 Virginia
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD21603 District of Columbia

Profile Details

NPI number 1255469177
LBN Legal business name Riley, Celeste Rita
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 1st, 2007
Last updated Oct 25th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255469177 NPPES
District of Columbia MEDICAID 036328800

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