Provider Demographics
NPI:1215391560
Name:SAHAWNEH, TIMOTHY MAEEN (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:MAEEN
Last Name:SAHAWNEH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4704 WHITESBURG DR SW STE 200
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35802-1681
Mailing Address - Country:US
Mailing Address - Phone:256-880-4510
Mailing Address - Fax:
Practice Address - Street 1:4704 WHITESBURG DR SW STE 200
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35802-1681
Practice Address - Country:US
Practice Address - Phone:256-880-4510
Practice Address - Fax:256-880-4512
Is Sole Proprietor?:No
Enumeration Date:2016-04-12
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALMD.42550208600000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program