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

Fulera Healthcare LLC

Organization Clinic/Center · NPI 1184450157

Fulera Healthcare LLC is a Clinic/Center in Baltimore, Maryland. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4108 Maine Ave
Baltimore, MD 21207-7503
Phone: (301) 793-8201
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinic/Center (primary) Taxonomy 261Q00000X

Record details

NPI number1184450157
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Iddrisu Tia — Owner · (301) 793-8201
NPI enumeratedSeptember 9, 2024
Last updated in NPPESSeptember 9, 2024
Certification dateSeptember 9, 2024
Mailing address4108 Maine Ave, Baltimore, MD 21207-7503

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