MEDICARE: MR. MOHAMED FULLAH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374U00000X	Home Health Aide

General Provider Information

NPI Number	:	1063776276
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MOHAMED FULLAH

Provider Business Mailing Address
First Line	:	702 PROXMIRE CT
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-5221
Country	:	US
Telephone Number	:	301-292-0517
Fax Number	:

Provider Business Practice Location Address
First Line	:	702 PROXMIRE CT
Second Line	:
City	:	FORT WASHINGTON
State	:	MD
Zip	:	20744-5221
Country	:	US
Telephone Number	:	301-292-0517
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/02/2012
Last Update Date	:	07/02/2012

Similar Medicare Providers

1447211628 — SELECT PHYSICAL THERAPY HOLDINGS INC
Practice Location Address:

1018 WASHINGTON ST , 2ND FLOOR
HOBOKEN, NJ
07030-5221

Practice Phone: 201-868-8899
Practice Fax:

1831288307 — EROL BASKURT MD
Practice Location Address:

627 MORRIS PL NE
WASHINGTON, DC
20002-5221

Practice Phone: 303-933-8270
Practice Fax:

1881716710 — DR. ALAN LEE BERMAN PH.D.
Practice Location Address:

5221 WISCONSIN AVE NW
WASHINGTON, DC
20015-2032

Practice Phone: 202-237-2280
Practice Fax: 202-237-2282

1205715810 — MEKA WILLIAMS
Practice Location Address:

5221 BANKS PL NE
WASHINGTON, DC
20019-6636

Practice Phone: 202-717-7812
Practice Fax:

1235068578 — KIANNA JONES
Practice Location Address:

2821 NW 12TH ST
FORT LAUDERDALE, FL
33311-5221

Practice Phone: 754-330-5377
Practice Fax:

1467439331 — DR. SCOTT IRWIN BOGGS DPM
Practice Location Address:

5221 HWY 95 , SUITE 10
FORT MOHAVE, AZ
86426-9244

Practice Phone: 928-788-3668
Practice Fax: 928-788-3670

Directions to “ MR. MOHAMED FULLAH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.