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

Octavius Atud Fongang

Individual provider Case Manager/Care Coordinator · NPI 1013722636

Octavius Atud Fongang is a Case Manager/Care Coordinator in Bowie, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2025

Practice location Address checks out

12515 Saber Ln
Bowie, MD 20715-2220
Phone: (240) 825-8245
Show map & directions

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

Specialties & licences

Case Manager/Care Coordinator (primary) Taxonomy 171M00000X (MD)

Record details

NPI number1013722636
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedFebruary 11, 2025
Last updated in NPPESFebruary 11, 2025
Certification dateFebruary 11, 2025

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