Individual
DR. TIMOTHY OMENONYE EHIABOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14201 LAUREL PARK DR, SUITE 102A, LAUREL, MD 20707-5203
(301) 490-6341
(301) 490-6343
Mailing address
14201 LAUREL PARK DR, SUITE 102A, LAUREL, MD 20707-5203
(301) 490-6341
(301) 490-6343
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D71421
MD
207Q00000X
Family Medicine Physician
ME0130609
FL
208M00000X
Hospitalist Physician
Primary
ME0130609
FL
Other
Enumeration date
05/28/2008
Last updated
11/19/2024
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