Provider Demographics
NPI:1861460008
Name:OSHIDA, JAMES W (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:W
Last Name:OSHIDA
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1838 GREENE TREE RD
Mailing Address - Street 2:SUITE 150
Mailing Address - City:BALTO
Mailing Address - State:MD
Mailing Address - Zip Code:21208
Mailing Address - Country:US
Mailing Address - Phone:410-602-9262
Mailing Address - Fax:410-602-9276
Practice Address - Street 1:5601 LOCH RAVEN BLVD
Practice Address - Street 2:RUSSELL MORGAN BLDG., SUITE 206
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21239-2905
Practice Address - Country:US
Practice Address - Phone:410-464-5600
Practice Address - Fax:410-532-4606
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2010-08-30
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Provider Licenses
StateLicense IDTaxonomies
MDD24916207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD374011100Medicaid
B67126Medicare UPIN
MD089L 244WMedicare ID - Type Unspecified