Individual
TIMAH NDI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
9911 GREENBELT RD APT T3, LANHAM, MD 20706-2243
(202) 415-6185
Mailing address
9911 GREENBELT RD APT T3, LANHAM, MD 20706-2243
(202) 415-6185
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
03/27/2023
Last updated
03/27/2023
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