# DR. PROMILA K. TIMOTHY

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

## Provider details

- **NPI number:** 1912127424
- **Gender:** F
- **Credential:** M.D.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 14108 | ND | — |
| 207Q00000X | Family Medicine Physician | 67961 | WI | Yes |

## Other

- **Enumeration date:** 04/26/2007
- **Last updated:** 10/26/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1468854 | — | ND |