FULERA HEALTHCARE LLC
NPI 1184450157
Clinic/Center in Baltimore, MD

Q: What is Fulera Healthcare LLC's NPI number?

The NPI number for Fulera Healthcare LLC is 1184450157. It was assigned to this organization in the NPPES registry on September 9, 2024.

Q: What is Fulera Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Active since September 09, 2024

4108 MAINE AVE, BALTIMORE, MD 21207(301) 793-8201 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Fulera Healthcare Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FULERA HEALTHCARE LLC (NPI 1184450157) is a healthcare organization registered as a clinic/center in Baltimore, Maryland and active in the NPI registry since September 2024. The organization lists Iddrisu Tia, Owner, as its authorized official.

NPPES Registry Identity

NPI1184450157

Entity TypeOrganization

Primary Taxonomy261Q00000X

Legal Business NameFULERA HEALTHCARE LLC

Location Address4108 MAINE AVEBaltimore, MD 21207-7503

Mailing Address4108 Maine AveBaltimore, MD 21207-7503 · (301) 793-8201

Phone(301) 793-8201

Organization SubpartNo

Authorized OfficialIddrisu TiaOwner · (301) 793-8201

Enumeration DateSeptember 9, 2024

NPPES CertifiedSeptember 9, 2024

✔ NPI 1184450157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities

Taxonomy Code261Q00000X

Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

4108 MAINE AVE, Baltimore, MD 21207

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fulera Healthcare LLC's NPI number?

The NPI number for Fulera Healthcare LLC is 1184450157. It was assigned to this organization in the NPPES registry on September 9, 2024.

Where is Fulera Healthcare LLC located?

Fulera Healthcare LLC is located at 4108 Maine Ave, Baltimore, MD 21207. The listed phone number is (301) 793-8201.

What is Fulera Healthcare LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Fulera Healthcare LLC was last updated on September 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.