Organization
HEMATOLOGY AND ONCOLOGY ASSOCIATES OF ALABAMA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ELQUIS M. CASTILLO MD (PRESIDENT)
(205) 502-4712
Entity
Organization
Contact information
Practice address
1528 CARRAWAY BLVD, ATTN: RADIATION ONCOLOGY DEPARTMENT, BIRMINGHAM, AL 35234-1998
(205) 502-4020
(205) 502-4022
Mailing address
PO BOX 10327, BIRMINGHAM, AL 35202-0327
(205) 502-4712
(205) 502-4710
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CK5459
RAILROAD MEDICARE
AL
Enumeration date
08/21/2006
Last updated
11/12/2007
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