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Individual

PAUL F CASTELLANOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
619 19TH STREET SOUTH, BIRMINGHAM, AL 35233
(205) 934-6600
Mailing address
770 W HIGH ST, STE 460, LIMA, OH 45801-5908
(205) 572-1506

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
26739
AL
207Y00000X
Otolaryngology Physician
Primary
35138760
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
009931853
AL
05
0398760
OH
01
051529031
BLUE CROSS
AL
01
E52676
VIVA
AL
01
H690820
MEDICARE PIN
OH
01
P00271055
RAILROAD MEDICARE
AL
Enumeration date
06/09/2006
Last updated
05/21/2020
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