# TIMOTHEA SERIATOS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1780645713
- **Gender:** F
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | MD064293L | PA | Yes |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 11/16/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 01398102 | CAPITAL BLUE CROSS | PA |
| 05 | — | 1020453540001 | — | PA |
| 01 | — | 21120 | HIGHMARK BLUE SHIELD | PA |