Timothy L Cannon in Fairfax - Internal Medicine
Timothy L Cannon - NPI 1376719906
Timothy L Cannon is a Internal Medicine in Fairfax, Virginia. Timothy L Cannon practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Timothy L Cannon is 1376719906. The last update date is 2021-09-10.
Timothy L Cannon's current location address is 8081 Innovation Park Dr, Fairfax, Virginia. You can contact this provider via phone number 5714724724 and fax number 5714720241. The mailing address for Timothy L Cannon is 8081 Innovation Park Dr, Fairfax, Virginia. To know further, please read the information below!
Provider Profile Detail
Provider Name | Timothy L Cannon |
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Address | 8081 Innovation Park Dr, Fairfax, Virginia |
Phone Number | 5714724724 |
Fax Number | 5714720241 |
Sole Proprietor | N |
Credentials | M.D. |
NPI Number Detail
NPI Number | 1376719906 |
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Provider Enumeration Date | 2008-05-04 |
Last Updated Date | 2021-09-10 |
Provider Mailing Address Detail
Address | 8081 Innovation Park Dr |
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City | Fairfax |
State | Virginia (VA) |
Post Code | 220314867 |
Phone Number | 5714724724 |
Fax Number | 5714720241 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 101249711 |
Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
---|---|---|---|
1376719906 | VA | -- | |
VV8084A | VA | MEDICARE PTAN |
Post Comment/ Review Below
What is the Timothy L Cannon's 1376719906?
The Timothy L Cannon's NPI (National Provider Identifier) Number is 1376719906. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Timothy L Cannon is geographically located?
The Timothy L Cannon is physically situated at the following location: 8081 Innovation Park Dr, Fairfax, VA, 220314867.
What is Timothy L Cannon's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Timothy L Cannon is Internal Medicine, and the taxonomy code that classifies this field of practice is 207R00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1376719906 to Timothy L Cannon?
The Timothy L Cannon received its 1376719906 assignment from the Centers for Medicare & Medicaid Services on 2008-05-04.
When was the information regarding Timothy L Cannon most recently updated?
The details pertaining to the Timothy L Cannon, including its address, specialty, and other relevant information, were last refreshed on 2021-09-10.
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