Individual
ELQUIS M. CASTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
705 GOODYEAR AVE, GADSDEN, AL 35903-1156
(256) 492-0375
(256) 492-9811
Mailing address
PO BOX 131329, BIRMINGHAM, AL 35213-6329
(256) 492-0375
(256) 492-9811
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
Primary
00016440
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000087436
—
AL
01
—
110237220
RAILROAD MEDICARE
AL
01
—
51509705
BLUE CROSS BLUE SHIELD
AL
01
—
E71006
UNITED HEALTHCARE
AL
Enumeration date
07/26/2006
Last updated
09/30/2021
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