Individual
DR. MARISSA CAGANAP GALICIA-CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
825 FAIRFAX AVE, SUITE 201, NORFOLK, VA 23507-1914
(757) 446-7040
(757) 446-7049
Mailing address
PO BOX 936, NORFOLK, VA 23501-0936
(757) 446-7040
(757) 446-7049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101102563
VA
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
0101102563
VA
207RH0002X
Hospice and Palliative Medicine (Internal Medicine) Physician
0101102563
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
-022
TRICARE/CHAMPUS
VA
05
—
005839670
—
VA
01
—
063AG
BC/BS
NC
01
—
27711
SENTARA/OPTIMA HEALTH
VA
01
—
382619
UHC/MAMSI
VA
01
—
451669
ANTHEM
VA
05
—
89063AG
—
NC
01
—
PAR
MULTIPLAN
VA
Enumeration date
02/15/2006
Last updated
07/18/2024
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