MEDICARE: IRIS K CASTILLO DO

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
1	208000000X	Pediatrics Physician	34.011488	OH

Other Identifiers

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

General Provider Information

NPI Number	:	1326380650
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IRIS K CASTILLO DO

Provider Business Mailing Address
First Line	:	6855 SPRING VALLEY DR
Second Line	:
City	:	HOLLAND
State	:	OH
Zip	:	43528-8039
Country	:	US
Telephone Number	:	419-389-1444
Fax Number	:	419-389-6755

Provider Business Practice Location Address
First Line	:	6855 SPRING VALLEY DR STE 125
Second Line	:
City	:	HOLLAND
State	:	OH
Zip	:	43528-9374
Country	:	US
Telephone Number	:	419-389-1444
Fax Number	:	419-389-1444

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/25/2013
Last Update Date	:	05/22/2025

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Directions to “ IRIS K CASTILLO DO” Practice Location

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