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NPI Code Detail

MEDICARE: DR. MICHAEL ALLEN CASTILLO MD

MEDICARE:  DR. MICHAEL ALLEN CASTILLO  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
1208VP0000XPain Medicine Physician27636AZ
2208VP0014XInterventional Pain Medicine Physician27636AZ
3251F00000XHome Infusion Agency
4207LP2900XPain Medicine (Anesthesiology) Physician27636AZ

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 : 1619991643
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MICHAEL ALLEN CASTILLO MD
Provider Business Mailing Address
First Line : 5310 W THUNDERBIRD RD STE 215
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-4712
Country : US
Telephone Number : 602-242-9891
Fax Number : 602-242-9895
Provider Business Practice Location Address
First Line : 5310 W THUNDERBIRD RD STE 215
Second Line :
City : GLENDALE
State : AZ
Zip : 85306-4712
Country : US
Telephone Number : 602-242-9891
Fax Number : 602-242-9895
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2006
Last Update Date : 02/12/2026

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Directions to “ DR. MICHAEL ALLEN CASTILLO MD” Practice Location

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