Individual
ELISHA PODDAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8115 MAPLE LAWN BLVD STE 350, FULTON, MD 20759-2683
(270) 401-3264
Mailing address
8115 MAPLE LAWN BLVD STE 350, FULTON, MD 20759-2683
Taxonomy
Speciality
Code
Description
License number
State
374700000X
Technician
Primary
—
—
Other
Enumeration date
02/20/2026
Last updated
02/20/2026
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