Provider Demographics
NPI:1861827586
Name:MEEKER, TIMOTHY C
Entity Type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:C
Last Name:MEEKER
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11133 POST HOUSE CT
Mailing Address - Street 2:
Mailing Address - City:POTOMAC
Mailing Address - State:MD
Mailing Address - Zip Code:20854-2535
Mailing Address - Country:US
Mailing Address - Phone:301-442-6349
Mailing Address - Fax:
Practice Address - Street 1:11133 POST HOUSE CT
Practice Address - Street 2:
Practice Address - City:POTOMAC
Practice Address - State:MD
Practice Address - Zip Code:20854-2535
Practice Address - Country:US
Practice Address - Phone:301-442-6349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY29947207RH0003X
CAG44989207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology