Healthcare Provider Details

I. General information

NPI: 1285740415
Provider Name (Legal Business Name): CHRISTINA M OJASCASTRO-SALARANO M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CHRISTINA M OJASCASTRO M.D.

II. Dates (important events)

Enumeration Date: 08/21/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5715 TELEGRAPH RD
SAINT LOUIS MO
63129-4221
US

IV. Provider business mailing address

5715 TELEGRAPH RD
SAINT LOUIS MO
63129-4221
US

V. Phone/Fax

Practice location:
  • Phone: 314-846-9190
  • Fax: 314-846-2968
Mailing address:
  • Phone: 314-846-9190
  • Fax: 314-846-2968

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number103518
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: