Lee, Timothy David

Lee, Timothy David is an individual health care provider with primary practice located at 6305 Coyle Avenue , Carmichael CA 95608-0438. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology. Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology is his primary health care specialty. Lee, Timothy David can be contacted via phone (916) 961-6920.

Contact Information

Primary practice address
6305 Coyle Avenue Carmichael CA 95608-0438
Fax: (916) 966-5063
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X A81416 California
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X A81416 California

Profile Details

NPI number 1790728020
LBN Legal business name Lee, Timothy David
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2006
Last updated Oct 25th, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790728020 NPPES
California Other 00A814160 MEDICAL
California Other P00288684 MEDICAL

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