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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

KOOSHA ADHAM

Active Sole Proprietor

KOOSHA ADHAM is a Adult Health Nurse Practitioner healthcare provider located in TEMPLE HILLS, Maryland. NPI 1255951547 is currently active in the NPPES registry. Verify at CMS.

Adult Health Nurse Practitioner · TEMPLE HILLS, MD

Registration Details

NPI Number
1255951547
Provider Type
Individual
Gender
Male
NPI Issued
Apr 16, 2020 (6.140637764759 yrs)
Last Updated
Apr 10, 2023
Licenses
AC002818 (MD)
AC002818 (MD)
AC002818 (MD)
AC002818 (MD)
Sole Proprietor
Yes

Practice Information

Address
4467 OLD BRANCH AVE STE 201
TEMPLE HILLS, MD, 207481854
Browse MD providers · Browse ZIP 20748
Phone
7033803200
Primary Specialty
Adult Health Nurse Practitioner
363LA2200X

Other Adult Health Nurse Practitioner Providers in TEMPLE HILLS, MD

Name Credential NPI
MRS. GAIL A CAVALLO CRNP 1871651778
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.