MEDICARE: KADIATU KOROMA

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	374U00000X	Home Health Aide	HHA200001433	DC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1760081152
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KADIATU KOROMA

Provider Business Mailing Address
First Line	:	7729 HUBBLE DR
Second Line	:
City	:	LANHAM
State	:	MD
Zip	:	20706-2498
Country	:	US
Telephone Number	:	301-328-6151
Fax Number	:

Provider Business Practice Location Address
First Line	:	955 LENFANT PLZ SW
Second Line	:
City	:	WASHINGTON
State	:	DC
Zip	:	20024-2119
Country	:	US
Telephone Number	:	202-895-2828
Fax Number	:

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

Provider Enumeration Date	:	10/18/2020
Last Update Date	:	03/03/2026

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Directions to “ KADIATU KOROMA ” Practice Location

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