Healthcare Provider Details

I. General information

NPI: 1790919744
Provider Name (Legal Business Name): COURTNEY D ACKERMAN M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/05/2009
Last Update Date: 05/08/2025
Certification Date: 05/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11886 HEALING WAY STE 701
SILVER SPRING MD
20904-7917
US

IV. Provider business mailing address

10710 CHARTER DR STE G020
COLUMBIA MD
21044-3257
US

V. Phone/Fax

Practice location:
  • Phone: 301-933-3216
  • Fax: 832-601-6868
Mailing address:
  • Phone: 301-933-3216
  • Fax: 832-601-6868

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberD0079772
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: