DoctorDataHub
Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. TIMOTHY RUSSELL DOUGHERTY JR., M.D.

Active

DR. TIMOTHY RUSSELL DOUGHERTY JR., M.D. is a Gastroenterology healthcare provider located in ALEXANDRIA, Virginia. NPI 1629232723 is currently active in the NPPES registry. Verify at CMS.

Gastroenterology · ALEXANDRIA, VA

Registration Details

NPI Number
1629232723
Provider Type
Individual
Gender
Male
NPI Issued
Jul 17, 2008 (18.105513238704 yrs)
Last Updated
Jul 21, 2022
Licenses
MD039006 (DC)
MD039006 (DC)
0101261949 (VA)

Practice Information

Address
4660 KENMORE AVE STE 100
ALEXANDRIA, VA, 223041306
Browse VA providers · Browse ZIP 22304
Phone
7037515763
Fax
7033708704
Primary Specialty
Gastroenterology
207RG0100X
Additional Specialty
Gastroenterology
Additional Specialty
Gastroenterology

Other Gastroenterology Providers in ALEXANDRIA, VA

Name Credential NPI
DR. STEPHEN SANDER FROST MD 1730180068
DR. ROBERT ALAN NUSSBAUM M.D. 1659364511
EMAD M ABUHAMDA MD 1649228099
TOBIN SCOTT NAIDORF MD 1457306318
DR. MUHAMMED F KHOKHAR 1033145586
DR. SINDU STEPHEN MD 1295768240
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.