Healthcare Provider Details

I. General information

NPI: 1750244638
Provider Name (Legal Business Name): RACHEAL OSHU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6013 SAVANNAH DR
BRANDYWINE MD
20613-7734
US

IV. Provider business mailing address

6013 SAVANNAH DR
BRANDYWINE MD
20613-7734
US

V. Phone/Fax

Practice location:
  • Phone: 240-706-2407
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code163WP0808X
TaxonomyPsychiatric/Mental Health Registered Nurse
License NumberR245772
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: