Basic Information
| Provider Information | |||||||||
| NPI: | 1669466819 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ALEMAN | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | TIMBERLAKE | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 301 CONCOURSE BLVD STE 190 | ||||||||
| Address2: | |||||||||
| City: | GLEN ALLEN | ||||||||
| State: | VA | ||||||||
| PostalCode: | 230595759 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8045494030 | ||||||||
| FaxNumber: | 8045494032 | ||||||||
| Practice Location | |||||||||
| Address1: | 10710 MIDLOTHIAN TPKE STE 401 | ||||||||
| Address2: | |||||||||
| City: | RICHMOND | ||||||||
| State: | VA | ||||||||
| PostalCode: | 232354723 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8047942307 | ||||||||
| FaxNumber: | 8047942944 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/02/2005 | ||||||||
| LastUpdateDate: | 10/19/2010 | ||||||||
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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 | 207N00000X | 25MA07469100 | NJ | Y | Allopathic & Osteopathic Physicians | Dermatology |
ID Information
| ID | Type | State | Issuer | Description | 0300312 | 01 | UNITED HEALTHCARE | OTHER | 2108371 | 01 | CIGNA | OTHER | 070013772 | 01 | RAILROAD MEDICARE | OTHER | 197349 | 01 | VA | ANTHEM | OTHER | 5901545 | 05 | VA | MEDICAID | 2183149 | 01 | VA | AETNA | OTHER | 98070 | 01 | SOUTHERN HEALTH | OTHER |