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NPI Code Detail

MEDICARE: ANDREW JOHN CASTELLANOS MD

MEDICARE: ANDREW JOHN CASTELLANOS MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician35.092527OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1144409392
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREW JOHN CASTELLANOS MD
Provider Business Mailing Address
First Line : 6941 KENWOOD RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-2327
Country : US
Telephone Number : 513-538-4327
Fax Number : 513-271-8033
Provider Business Practice Location Address
First Line : 6941 KENWOOD RD
Second Line :
City : CINCINNATI
State : OH
Zip : 45243-2327
Country : US
Telephone Number : 866-200-1899
Fax Number : 513-271-8033
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/24/2007
Last Update Date : 05/01/2023

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