Healthcare Provider Details

I. General information

NPI: 1093039570
Provider Name (Legal Business Name): MAJOR MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2010
Last Update Date: 09/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 SPRING ST SUITE 122
SILVER SPRING MD
20910-3616
US

IV. Provider business mailing address

2129 CLARK PL
SILVER SPRING MD
20910-1175
US

V. Phone/Fax

Practice location:
  • Phone: 301-585-1833
  • Fax: 240-235-3898
Mailing address:
  • Phone: 301-585-1833
  • Fax: 240-235-3898

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD036021
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD64592
License Number StateMD

VIII. Authorized Official

Name: DR. MARK AMMAAN MAJOR
Title or Position: DOCTOR/OWNER
Credential: M.D.
Phone: 301-585-1833