MEDICARE: KEESHA ASAMOAH NP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208M00000X	Hospitalist Physician	NP004939	GA

General Provider Information

NPI Number	:	1609713981
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEESHA ASAMOAH NP

Provider Business Mailing Address
First Line	:	6601 MELVILLE ST
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-2461
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6601 MELVILLE ST
Second Line	:
City	:	HYATTSVILLE
State	:	MD
Zip	:	20782-2461
Country	:	US
Telephone Number	:	860-709-3126
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2026
Last Update Date	:	05/04/2026

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Directions to “ KEESHA ASAMOAH NP” Practice Location

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