Healthcare Provider Details

I. General information

NPI: 1699353334
Provider Name (Legal Business Name): CHRISTOPHER MCLEOD DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2021
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2415 MUSGROVE RD STE 105
SILVER SPRING MD
20904-5224
US

IV. Provider business mailing address

20 CLIVE PL
EAST NORTHPORT NY
11731-1326
US

V. Phone/Fax

Practice location:
  • Phone: 301-989-3464
  • Fax: 301-879-2325
Mailing address:
  • Phone: 631-759-0945
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberH0104350
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: