Healthcare Provider Details

I. General information

NPI: 1417650557
Provider Name (Legal Business Name): ADAM HOOD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/27/2023
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6401 AMERICA BLVD STE 203
HYATTSVILLE MD
20782-2357
US

IV. Provider business mailing address

6401 AMERICA BLVD STE 203
HYATTSVILLE MD
20782-2357
US

V. Phone/Fax

Practice location:
  • Phone: 301-209-5480
  • Fax:
Mailing address:
  • Phone: 301-209-5480
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberD0106532
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: