Individual
DR. CARLOS ANTHONY CASILLAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3333 BURNET AVE, ML 9016, CINCINNATI, OH 45229-3026
(513) 803-8092
(513) 803-9245
Mailing address
3333 BURNET AVE., ML 9016, CINCINNATI, OH 45229
(513) 803-8092
(513) 803-9245
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35.142290
OH
208000000X
Pediatrics Physician
Primary
35.142290
OH
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2017
Last updated
07/08/2024
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