KOOSHA ADHAM
NPI 1255951547
Nurse Practitioner - Adult Health in Temple Hills, MD

Active since April 16, 2020
4467 OLD BRANCH AVE STE 201, TEMPLE HILLS, MD 20748(703) 380-3200 Get Directions Write a Review

NPPES record last updated: April 10, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Apr 10, 2023, Oct 27, 2022, Nov 30, 2020 and 1 more (4 updates tracked since 2020).

About Koosha Adham NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOOSHA ADHAM (NPI 1255951547) is an individual adult health provider in Temple Hills, Maryland, licensed in Maryland (AC002818) and active in the NPI registry since April 2020.

NPPES Registry Identity

NPI1255951547
Entity TypeIndividualMale
Primary Taxonomy363LA2200X
Provider Legal NameKOOSHA ADHAM
Location Address4467 OLD BRANCH AVE STE 201Temple Hills, MD 20748-1854
Mailing Address4467 Old Branch Ave Ste 201Temple Hills, MD 20748-1854
Sole ProprietorYes
Enumeration DateApril 16, 2020
Last NPPES UpdateApril 10, 20234 updates tracked since enumeration
NPPES CertifiedApril 10, 2023
NPI 1255951547 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyNurse Practitioner · Adult HealthPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LA2200X
License Licensed in MD · AC002818
Also ListedNurse PractitionerTaxonomy 363L00000X · License AC002818 (MD)
Also ListedNurse Practitioner · GerontologyTaxonomy 363LG0600X · License AC002818 (MD)
Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X · License AC002818 (MD)
4467 OLD BRANCH AVE STE 201, Temple Hills, MD 20748

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Gastroenterology)
4467 OLD BRANCH AVE STE 201
TEMPLE HILLS, MD 20748
Internal Medicine (Gastroenterology)
4467 OLD BRANCH AVE STE 201
TEMPLE HILLS, MD 20748

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Koosha Adham's NPI number?

The NPI number for Koosha Adham is 1255951547. It was assigned to this individual provider in the NPPES registry on April 16, 2020.

Where is Koosha Adham located?

Koosha Adham practices at 4467 Old Branch Ave Ste 201, Temple Hills, MD 20748. The listed phone number is (703) 380-3200.

What is Koosha Adham's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Adult Health, with taxonomy code 363LA2200X.

When was this NPI record last updated?

The NPPES record for Koosha Adham was last updated on April 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.