Provider Demographics
NPI:1639353329
Name:PLERHOPLES, TIMOTHY ANDREAS (MD)
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:ANDREAS
Last Name:PLERHOPLES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:2710 PROSPERITY AVE STE 200
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4358
Mailing Address - Country:US
Mailing Address - Phone:703-280-2841
Mailing Address - Fax:703-280-4773
Practice Address - Street 1:2710 PROSPERITY AVE STE 200
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4358
Practice Address - Country:US
Practice Address - Phone:703-280-2841
Practice Address - Fax:703-280-4773
Is Sole Proprietor?:No
Enumeration Date:2007-12-18
Last Update Date:2021-02-02
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101251887208C00000X
VA101251887208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
No208C00000XAllopathic & Osteopathic PhysiciansColon & Rectal Surgery