Organization
SHANTI BALKISSOON-CASTILLO DPM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTI BALKISSOON-CASTILLO DPM (OWNER)
(505) 299-4487
Entity
Organization
Contact information
Practice address
7700 MENAUL BLVD NE, STE D, ALBUQUERQUE, NM 87110-4639
(505) 299-4487
(505) 299-4498
Mailing address
7700 MENAUL BLVD NE, STE D, ALBUQUERQUE, NM 87110-4639
(505) 299-4487
(505) 299-4498
Taxonomy
Speciality
Code
Description
License number
State
261QP1100X
Podiatric Clinic/Center
Primary
—
—
Other
Enumeration date
05/21/2019
Last updated
05/29/2019
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