Healthcare Provider Details

I. General information

NPI: 1205401502
Provider Name (Legal Business Name): ALL ABOUT KIDS PEDIATRICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/20/2021
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

190 THOMAS JOHNSON DR STE 5
FREDERICK MD
21702-4879
US

IV. Provider business mailing address

190 THOMAS JOHNSON DR STE 5
FREDERICK MD
21702-4879
US

V. Phone/Fax

Practice location:
  • Phone: 301-200-7444
  • Fax: 833-907-0576
Mailing address:
  • Phone: 301-200-7444
  • Fax: 833-907-0576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2080A0000X
TaxonomyPediatric Adolescent Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: MAKAYA ADISA MULATO
Title or Position: MD/OWNER
Credential: MD
Phone: 301-200-7444