Healthcare Provider Details

I. General information

NPI: 1699253534
Provider Name (Legal Business Name): CPAPCONCIERGE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2018
Last Update Date: 08/02/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10421 MOTOR CITY DR UNIT 34600
BETHESDA MD
20827-7524
US

IV. Provider business mailing address

10421 MOTOR CITY DR UNIT 34600
BETHESDA MD
20827-7524
US

V. Phone/Fax

Practice location:
  • Phone: 240-621-2955
  • Fax: 443-878-1416
Mailing address:
  • Phone: 240-621-2955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RS0012X
TaxonomySleep Medicine (Internal Medicine) Physician
License Number
License Number State

VIII. Authorized Official

Name: MR. IIRO MAKI
Title or Position: MANAGER
Credential:
Phone: 240-621-2955