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Elisha Poddam — NPI 1568315224, Fulton, MD | NPI Central

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Elisha Poddam

NPI 1568315224 · Technician · Fulton, MD

Provider details

NPI number: 1568315224
Entity type: Individual
Primary specialty: TechnicianNursing Service Related Providers
Sex: Female
Sole proprietor: Yes

Specialties & taxonomies

TechnicianPrimary374700000X
Nursing Service Related Providers

Practice location

8115 Maple Lawn Blvd Ste 350

Fulton, MD 20759-2683

Phone: (270) 401-3264

Approximate (ZIP-level) locationGet directions

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Mailing address

8115 Maple Lawn Blvd Ste 350

Fulton, MD 20759-2683

Registry dates

Enumerated: 2026-02-20
Last updated: 2026-02-20
Certified: 2026-02-20

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.