Healthcare Provider Details

I. General information

NPI: 1033585344
Provider Name (Legal Business Name): ASTRID RODRIGUEZ OLSHVANG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/20/2015
Last Update Date: 03/10/2026
Certification Date: 03/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6622B RITCHIE HWY ARUNDEL PLAZA,
GLEN BURNIE MD
21061
US

IV. Provider business mailing address

9613 HARFORD RD
PARKVILLE MD
21234-2150
US

V. Phone/Fax

Practice location:
  • Phone: 443-912-5437
  • Fax:
Mailing address:
  • Phone: 443-461-6767
  • 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 StateDC
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StatePR
# 3
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMTL004031
License Number StateDC
# 4
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD24044
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: