Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Koosha Adham

Individual provider Nurse Practitioner · NPI 1255951547

Koosha Adham is a Nurse Practitioner in Temple Hills, Maryland. Practices as a sole proprietor. Licensed in Maryland.

Licensed in
MD
In the registry since
2020
Specialties on file
4

Practice location Address checks out

4467 Old Branch Ave Ste 201
Temple Hills, MD 20748-1854
Phone: (703) 380-3200
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence AC002818 (MD)
Nurse Practitioner Taxonomy 363L00000X · Licence AC002818 (MD)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence AC002818 (MD)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence AC002818 (MD)

Record details

NPI number1255951547
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 16, 2020
Last updated in NPPESApril 10, 2023
Certification dateApril 10, 2023
Mailing address4467 Old Branch Ave Ste 201, Temple Hills, MD 20748-1854

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