Provider Demographics
NPI:1154426542
Name:POWELL-WILEY, TIFFANY M (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:TIFFANY
Middle Name:M
Last Name:POWELL-WILEY
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:DR
Other - First Name:TIFFANY
Other - Middle Name:M
Other - Last Name:POWELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD, MPH
Mailing Address - Street 1:ROOM 5 3330 BLDG 10
Mailing Address - Street 2:NATIONAL INSTITUTES OF HEALTH
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-594-3735
Mailing Address - Fax:
Practice Address - Street 1:ROOM 5 3330 BLDG 10
Practice Address - Street 2:NATIONAL INSTITUTES OF HEALTH
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-594-3735
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXN0377207RC0000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease