Healthcare Provider Details

I. General information

NPI: 1407032485
Provider Name (Legal Business Name): MARK AMMAAN MAJOR M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/21/2008
Last Update Date: 07/30/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1300 SPRING STREET SUITE 122
SILVER SPRING MD
20910
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 Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number StateMD
# 3
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0064592
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: