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Individual

DR. CAESAR CASTRO AGAGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
141 TUSCALOOSA ST, MOBILE, AL 36607-3422
(251) 433-3344
(251) 433-4052
Mailing address
PO BOX 7987, MOBILE, AL 36670-0987
(251) 633-0573
(251) 633-7367

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
23463
AL
207RP1001X
Pulmonary Disease Physician
Primary
23463
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00124658
MS MEDICAID
MS
01
051507365
MEDICARE
AL
01
1003499
CIGNA HC
AL
01
1987747
UHC
AL
05
213145
AL
05
213434
AL
05
220390
AL
05
221315
AL
01
290014606
RR MEDICARE
AL
01
512-05482
BCBS
AL
01
512-05483
BCBS
AL
01
515-07365
BCBS
AL
05
51507365
AL
01
7608175
AETNA
AL
01
H29012
VIVA HEALTH
AL
Enumeration date
12/19/2005
Last updated
06/21/2023
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