Individual
DR. TIMOTHY L TIMKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
260 POLARIS PKWY FL 2, WESTERVILLE, OH 43082-8019
(614) 533-3470
(614) 533-3160
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
35-05-6053
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0680535
—
OH
01
—
311211539029
CARESOURCE
OH
Enumeration date
07/20/2005
Last updated
01/29/2025
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