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

Tata Terrence Fonyuy

Individual provider Case Manager/Care Coordinator · NPI 1619759701

Tata Terrence Fonyuy is a Case Manager/Care Coordinator in Greenbelt, Maryland. Licensed in Maryland. Registered with an NPI since 2023.

Licensed in
MD
In the registry since
2023
Specialties on file
2

Practice location Address checks out

7768 Mandan Rd
Greenbelt, MD 20770-2167
Phone: (443) 400-9759
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
Case Manager/Care Coordinator Taxonomy 171M00000X (MD)

Record details

NPI number1619759701
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 16, 2023
Last updated in NPPESDecember 28, 2023
Certification dateDecember 28, 2023

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