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General NPI Number Information
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NPI Number | 1558379958
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Entity Type | Individual
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Provider Name | CARLOS ASTRADA M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/03/2006
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Last Update Date | 10/13/2017
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Provider Practice Location Address
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Address Line | 1200 E FAYETTE ST FL 2
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City | BALTIMORE
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State | MD
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Zip | 21202-4721
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Country | US
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Telephone | 410-327-6503
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Fax | 410-327-4107
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Provider Business Mailing Address
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Address Line | 13617 QUERY MILL RD
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City | NORTH POTOMAC
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State | MD
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Zip | 20878-3967
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Country | US
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Telephone | 202-546-2882
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Fax |
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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 | 173000000X
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Taxonomy Name | Legal Medicine
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | D0019998
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | MD9650
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License Number State | DC
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