Healthcare Provider Details

I. General information

NPI: 1235243734
Provider Name (Legal Business Name): R. JOAN OSHINSKY MD PHD PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/19/2006
Last Update Date: 03/07/2023
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5401 TWIN KNOLLS RD STE 7
COLUMBIA MD
21045-3237
US

IV. Provider business mailing address

5401 TWIN KNOLLS RD STE 7
COLUMBIA MD
21045-3237
US

V. Phone/Fax

Practice location:
  • Phone: 410-992-1435
  • Fax: 844-641-1861
Mailing address:
  • Phone: 410-992-1435
  • Fax: 844-641-1861

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberD0044861
License Number StateMD

VIII. Authorized Official

Name: R. JOAN OSHINSKY
Title or Position: PRESIDENT
Credential: MD
Phone: 301-552-0965