Individual
FERNANDO R. DE CASTRO
Active
Individual
FERNANDO R. DE CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
31195
KY
207ND0900X
Dermatopathology Physician
Primary
31195
KY
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
31195
KY
207NS0135X
Procedural Dermatology Physician
31195
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000044795
ANTHEM
—
01
—
0300072
UNITED HEALTHCARE
—
05
—
64311954
—
KY
Enumeration date
05/31/2005
Last updated
10/06/2023
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