Provider Demographics
NPI:1477065209
Name:ABDULHOSEIN N ADHAM
Entity Type:Organization
Organization Name:ABDULHOSEIN N ADHAM
Other - Org Name:ABDULHASEIN N ADHAM M.D.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SHIRIN
Authorized Official - Middle Name:
Authorized Official - Last Name:TALEGHANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-899-8900
Mailing Address - Street 1:4467 OLD BRANCH AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:TEMPLE HILLS
Mailing Address - State:MD
Mailing Address - Zip Code:20748-1854
Mailing Address - Country:US
Mailing Address - Phone:301-899-8900
Mailing Address - Fax:301-899-2963
Practice Address - Street 1:4467 OLD BRANCH AVE STE 201
Practice Address - Street 2:
Practice Address - City:TEMPLE HILLS
Practice Address - State:MD
Practice Address - Zip Code:20748-1854
Practice Address - Country:US
Practice Address - Phone:301-899-8900
Practice Address - Fax:301-899-2963
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-11-02
Last Update Date:2017-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0015557207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterologyGroup - Single Specialty