Basic Information
| Provider Information | |||||||||
| NPI: | 1497703862 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | LOW | ||||||||
| FirstName: | TIMOTHY | ||||||||
| MiddleName: | JAMES | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 400 REDLAND COURT | ||||||||
| Address2: | SUITE 208 | ||||||||
| City: | OWINGS MILLS | ||||||||
| State: | MD | ||||||||
| PostalCode: | 211173292 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4104947920 | ||||||||
| FaxNumber: | 4109028247 | ||||||||
| Practice Location | |||||||||
| Address1: | 7505 OSLER DRIVE | ||||||||
| Address2: | SUITE 409 | ||||||||
| City: | TOWSON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212047739 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4103215651 | ||||||||
| FaxNumber: | 4105830134 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/05/2006 | ||||||||
| LastUpdateDate: | 06/17/2011 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0200X | D0024034 | MD | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Critical Care Medicine |
ID Information
| ID | Type | State | Issuer | Description | 037124100 | 05 | DC | MEDICAID | 210991300 | 05 | MD | MEDICAID |