Healthcare Provider Details

I. General information

NPI: 1215977400
Provider Name (Legal Business Name): TIMOTHY CAHILL M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/07/2006
Last Update Date: 08/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2006 HOGBACK RD SUITE 5
ANN ARBOR MI
48105-9750
US

IV. Provider business mailing address

9017 CARTER DR
SALINE MI
48176-8006
US

V. Phone/Fax

Practice location:
  • Phone: 734-786-4940
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number4301086007
License Number StateMI
# 2
Primary TaxonomyN
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number35.136955
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: