Individual
DR. JUANITA M CASTANEDA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2804 BRAINARD RD, PEPPER PIKE, OH 44124-4608
(216) 214-6176
(440) 494-7049
Mailing address
2804 BRAINARD RD, PEPPER PIKE, OH 44124-4608
(216) 214-6176
(440) 494-7049
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
35048555
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000124452
ANTHEM
OH
01
—
000000332689
ANTHEM
OH
05
—
0536067
—
OH
01
—
110031418
RAILROAD MEDICARE
OH
01
—
P00198029
RAILROAD MEDICARE
OH
Enumeration date
10/17/2005
Last updated
03/28/2018
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