Provider Demographics
NPI:1205401502
Name:ALL ABOUT KIDS PEDIATRICS LLC
Entity Type:Organization
Organization Name:ALL ABOUT KIDS PEDIATRICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MAKAYA
Authorized Official - Middle Name:ADISA
Authorized Official - Last Name:MULATO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-200-7444
Mailing Address - Street 1:3520 SUGARLOAF PKWY STE F03
Mailing Address - Street 2:
Mailing Address - City:URBANA
Mailing Address - State:MD
Mailing Address - Zip Code:21704-7911
Mailing Address - Country:US
Mailing Address - Phone:301-200-7444
Mailing Address - Fax:
Practice Address - Street 1:190 THOMAS JOHNSON DR STE 5
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702
Practice Address - Country:US
Practice Address - Phone:301-200-7444
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-20
Last Update Date:2021-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208000000XAllopathic & Osteopathic PhysiciansPediatricsGroup - Multi-Specialty
No2080A0000XAllopathic & Osteopathic PhysiciansPediatricsAdolescent MedicineGroup - Multi-Specialty