Healthcare Provider Details

I. General information

NPI: 1639998461
Provider Name (Legal Business Name): MILLENNIUM GLOBAL HEALTHCARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2024
Last Update Date: 07/23/2026
Certification Date: 07/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9500 MEDICAL CENTER DR STE 350
UPPER MARLBORO MD
20774-3715
US

IV. Provider business mailing address

9500 MEDICAL CENTER DR STE 350
UPPER MARLBORO MD
20774-3715
US

V. Phone/Fax

Practice location:
  • Phone: 301-655-7114
  • Fax:
Mailing address:
  • Phone: 301-655-7114
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License Number
License Number State

VIII. Authorized Official

Name: POLYCARP EBURUOH
Title or Position: ASSOCIATE DIRECTOR
Credential:
Phone: 301-655-7114