Provider Demographics
NPI:1669466819
Name:ALEMAN, CHRISTOPHER TIMBERLAKE (MD)
Entity Type:Individual
Prefix:DR
First Name:CHRISTOPHER
Middle Name:TIMBERLAKE
Last Name:ALEMAN
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 1:301 CONCOURSE BLVD STE 190
Mailing Address - Street 2:
Mailing Address - City:GLEN ALLEN
Mailing Address - State:VA
Mailing Address - Zip Code:23059-5759
Mailing Address - Country:US
Mailing Address - Phone:804-549-4030
Mailing Address - Fax:804-549-4032
Practice Address - Street 1:10710 MIDLOTHIAN TPKE STE 401
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23235-4723
Practice Address - Country:US
Practice Address - Phone:804-794-2307
Practice Address - Fax:804-794-2944
Is Sole Proprietor?:No
Enumeration Date:2005-09-02
Last Update Date:2010-10-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07469100207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
0300312OtherUNITED HEALTHCARE
2108371OtherCIGNA
070013772OtherRAILROAD MEDICARE
VA197349OtherANTHEM
VA5901545Medicaid
VA2183149OtherAETNA
98070OtherSOUTHERN HEALTH
VA070000298Medicare ID - Type Unspecified
2108371OtherCIGNA
H03135Medicare UPIN