Individual
DR. THEODORE C OSUALA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
9470 ANNAPOLIS RD, SUITE 117, LANHAM, MD 20706-3025
(301) 577-9111
(301) 577-9199
Mailing address
9470 ANNAPOLIS RD, SUITE 117, LANHAM, MD 20706-3025
(301) 577-9111
(301) 577-9199
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
D0064126
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015197100
—
MD
Enumeration date
11/01/2006
Last updated
08/02/2022
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