Individual
DR. TIMOTHY SHANNON HARLAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2150 PENNSYLVANIA AVENUE, NW, DEPT. OF MEDICINE - DIVI.OF GENERAL INTERNAL MEDICINE, WASHINGTON, DC 20037
(202) 741-2222
Mailing address
1177 22ND ST NW UNIT 1E, WASHINGTON, DC 20037-1253
(504) 931-2929
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
LA 201361
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5837294
—
VA
Enumeration date
01/02/2007
Last updated
10/23/2019
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