Provider Demographics
NPI:1790919744
Name:ACKERMAN, COURTNEY D (MD)
Entity type:Individual
Prefix:DR
First Name:COURTNEY
Middle Name:D
Last Name:ACKERMAN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10710 CHARTER DR STE G020
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3257
Mailing Address - Country:US
Mailing Address - Phone:301-933-3216
Mailing Address - Fax:832-601-6868
Practice Address - Street 1:11886 HEALING WAY STE 701
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-7917
Practice Address - Country:US
Practice Address - Phone:301-933-3216
Practice Address - Fax:832-601-6868
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-05
Last Update Date:2025-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0079772207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & OncologyGroup - Single Specialty