KOOSHA ADHAM NPI 1255951547

NPI Information

  • NPI: 1255951547
  • Provider Name: KOOSHA ADHAM
  • Classification: Nurse Practitioner - 363LA2200X
  • Specialization: Adult Health
  • Entity Type: Individual
  • Address: 4467 OLD BRANCH AVE STE 201
    TEMPLE HILLS, MD
    ZIP 20748
  • Phone: (703) 380-3200

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NPI Details

Koosha Adham is an adult health nurse practitioner in Temple Hills, MD. Koosha Adham NPI is 1255951547. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

4467 OLD BRANCH AVE STE 201
TEMPLE HILLS, MD
ZIP 20748-854
Phone: (703) 380-3200

The enumeration date for this NPI number is 4/16/2020 and was last updated on 4/10/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363L00000XNurse PractitionerAC002818MARYLANDNo
2363LG0600XNurse PractitionerGerontologyAC002818MARYLANDNo
3363LP2300XNurse PractitionerPrimary CareAC002818MARYLANDNo
4363LA2200XNurse PractitionerAdult HealthAC002818MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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