Provider Demographics
NPI:1578893947
Name:CHEN, TIMOTHY BING-TEE (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:BING-TEE
Last Name:CHEN
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 1:655 WATKINS MILL RD
Mailing Address - Street 2:RADIOLOGY DEPARTMENT
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20879-3301
Mailing Address - Country:US
Mailing Address - Phone:301-848-5786
Mailing Address - Fax:
Practice Address - Street 1:655 WATKINS MILL RD
Practice Address - Street 2:RADIOLOGY DEPARTMENT
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-3301
Practice Address - Country:US
Practice Address - Phone:301-848-5786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-01-07
Last Update Date:2022-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036.1367902085R0202X
NJ25MA084792002085R0202X
MDD742212085R0202X
NY2564042085R0202X
GA895462085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
ILF400203839Medicare PIN
DC239647ZCPSMedicare PIN
DC239647YZBMedicare PIN
MD241789Y7JMedicare PIN
DC126831YB3HMedicare PIN