Individual
ROBERT A OLSHAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2300 OPITZ BLVD, WOODBRIDGE, VA 22191-3311
(703) 670-1561
(703) 670-4961
Mailing address
5655 HUDSON DR STE 210, ARIS RADIOLOGY, HUDSON, OH 44236-4455
(330) 655-1869
(330) 688-3828
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
0101048237
VA
2085R0204X
Vascular & Interventional Radiology Physician
0101048237
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010128684
—
VA
01
—
P00212165
RAILROAD MEDICARE
DC
Enumeration date
10/26/2005
Last updated
11/10/2016
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