Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Ennoble Hc Dmv LLC

Organization Geriatric Medicine (Family Medicine) Physician · NPI 1104492115

Ennoble Hc Dmv LLC is a Geriatric Medicine (Family Medicine) Physician in Fulton, Maryland. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

8115 Maple Lawn Blvd Ste 350
Fulton, MD 20759-2683
Phone: (862) 812-9010
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Medicine (Family Medicine) Physician (primary) Taxonomy 207QG0300X

Record details

NPI number1104492115
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kush Das — Manager · (201) 956-8233
NPI enumeratedJune 1, 2021
Last updated in NPPESNovember 26, 2025
Certification dateNovember 26, 2025
Mailing address39 V St Ne, Washington, DC 20002-1329