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General NPI Number Information
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NPI Number | 1053630285
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Entity Type | Individual
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Provider Name | KASRA ADHAM MD
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Gender | Male
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 02/06/2025
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Provider Practice Location Address
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Address Line | 125 POTOMAC PSGE STE 250
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City | OXON HILL
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State | MD
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Zip | 20745-1580
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Country | US
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Telephone | 240-737-0085
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Fax | 202-296-0301
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Provider Business Mailing Address
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Address Line | 125 POTOMAC PSGE STE 250
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City | OXON HILL
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State | MD
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Zip | 20745-1580
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Country | US
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Telephone | 240-737-0085
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Fax | 202-296-0301
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | MD045930
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | D0083232
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License Number State | MD
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