Organization Active NPI

Kasra Adham MD

  • Specialist
  • Temple Hills, MD
National Provider Identifier
1457823981
Registry record updated Dec 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
KASRA ADHAM MD
Practice address
4467 Old Branch Ave
Temple Hills, MD 20748-1854
Phone
(301) 899-8900
NPI assigned
Dec 21, 2018
Last updated
Dec 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kasra Adham, MDNPI 1053630285
Title
Provider
Phone
(301) 899-8900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X Primary

Addresses

Primary practice location

4467 Old Branch Ave
Temple Hills, MD 20748-1854

Mailing address

4467 Old Branch Ave Ste 201
Temple Hills, MD 20748-1854
Phone (301) 899-8900

Other practice location 1

4467 Old Branch Ave
Temple Hills, MD 20748-1854
Phone (301) 899-8900

National Provider Directory

National Provider Directory

Locations

4467 Old Branch Ave
Temple Hills, MD 20748
Phone (301) 899-8900

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1545350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1545350400000",
    "number": "1457823981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4467 OLD BRANCH AVE STE 201",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481854",
            "telephone_number": "301-899-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4467 OLD BRANCH AVE",
            "city": "TEMPLE HILLS",
            "state": "MD",
            "postal_code": "207481854",
            "telephone_number": "301-899-8900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4467 Old Branch Ave",
            "address_purpose": "LOCATION",
            "city": "Temple Hills",
            "state": "MD",
            "postal_code": "207481854",
            "country_code": "US",
            "telephone_number": "301-899-8900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KASRA ADHAM MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-12-21",
        "last_updated": "2018-12-21",
        "status": "A",
        "authorized_official_last_name": "ADHAM",
        "authorized_official_first_name": "KASRA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "301-899-8900",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temple Hills, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.