Healthcare Provider Details

I. General information

NPI: 1134335938
Provider Name (Legal Business Name): AMANDA DERRYCK CASTEL MD, MPH
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/16/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

403 ASPEN ST NW
WASHINGTON DC
20012-2737
US

IV. Provider business mailing address

403 ASPEN ST NW
WASHINGTON DC
20012-2737
US

V. Phone/Fax

Practice location:
  • Phone: 202-545-1877
  • Fax:
Mailing address:
  • Phone: 202-545-1877
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License NumberMD036536
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code2083P0901X
TaxonomyPublic Health & General Preventive Medicine Physician
License NumberMD036536
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: