Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. TIMOTHY RICHARD FULLAM, M.D.
ActiveDR. TIMOTHY RICHARD FULLAM, M.D. is a 2084N0008X healthcare provider located in PHOENIX, Arizona. NPI 1952720104 is currently active in the NPPES registry. Verify at CMS.
2084N0008X · PHOENIX, AZ
Registration Details
- NPI Number
- 1952720104
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 15, 2014 (12.332547044104 yrs)
- Last Updated
- Feb 5, 2025
- Licenses
-
T1068 (TX)T1068 (TX)28833 (NE)73815 (AZ)
Practice Information
- Address
-
240 W THOMAS RD # 400PHOENIX, AZ, 850134407Browse AZ providers · Browse ZIP 85013
- Phone
- 6024066262
- Fax
- 6024066261
- Primary Specialty
-
2084N0008X
2084N0008X
- Additional Specialty
- Neurology
- Additional Specialty
- General Practice
- Additional Specialty
- 2084N0008X
Other 2084N0008X Providers in PHOENIX, AZ
| Name | Credential | NPI |
|---|---|---|
| SHAFEEQ S LADHA | M.D. | 1417931767 |
| DR. KUMARASWAMY SIVAKUMAR | M.D. | 1821035254 |
| DR. AYUSHI CHUGH | M.D | 1376818229 |
| JUSTINE KIT CHAN | M.D. | 1073990743 |
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.