Provider Demographics
NPI:1184607236
Name:ALBERTSON, TIMOTHY EUGENE (MD, PHD, MPH)
Entity type:Individual
Prefix:DR
First Name:TIMOTHY
Middle Name:EUGENE
Last Name:ALBERTSON
Suffix:
Gender:M
Credentials:MD, PHD, MPH
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Mailing Address - Street 1:4150 V ST STE 3400
Mailing Address - Street 2:UC DAVIS MEDICAL CENTER
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95817-1460
Mailing Address - Country:US
Mailing Address - Phone:916-734-3564
Mailing Address - Fax:916-734-7924
Practice Address - Street 1:4150 V ST STE 3400
Practice Address - Street 2:UC DAVIS MEDICAL CENTER
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95817-1460
Practice Address - Country:US
Practice Address - Phone:916-734-3564
Practice Address - Fax:916-734-7924
Is Sole Proprietor?:No
Enumeration Date:2005-11-22
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG37112207PT0002X, 207RC0200X, 207RP1001X, 208U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
No207PT0002XAllopathic & Osteopathic PhysiciansEmergency MedicineMedical Toxicology
No207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No208U00000XAllopathic & Osteopathic PhysiciansClinical Pharmacology