Provider Demographics
NPI:1417073792
Name:CHRISTOPHER J. MAYS, M.D., L.L.C.
Entity Type:Organization
Organization Name:CHRISTOPHER J. MAYS, M.D., L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER PRACTITIONER
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:J
Authorized Official - Last Name:MAYS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-774-7170
Mailing Address - Street 1:18111 PRINCE PHILIP DR
Mailing Address - Street 2:SUITE 207
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-1513
Mailing Address - Country:US
Mailing Address - Phone:301-774-7170
Mailing Address - Fax:301-774-6676
Practice Address - Street 1:18111 PRINCE PHILIP DR
Practice Address - Street 2:SUITE 207
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1513
Practice Address - Country:US
Practice Address - Phone:301-774-7170
Practice Address - Fax:301-774-6676
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-21
Last Update Date:2012-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0039793207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0100078OtherAETNA HMO
MD0406052OtherUNITED HEALTHCARE
MD34710001OtherBCBS DC
MD060111000Medicaid
MD4332594OtherAETNA PPO
MD284013OtherALLIANCE PPO
MD6257879005OtherCIGNA HMO
MD884013OtherMAMSI OPT CHOICE MDIPA
MDKDF9CHOtherBCBS MD
MD060111000Medicaid