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) 271-8541
Entity
Organization
Contact information
Practice address
209 W SPRING ST, SUITE 303, SYLACAUGA, AL 35150-2973
(256) 401-0417
(256) 401-0421
Mailing address
PO BOX 131329, BIRMINGHAM, AL 35213-6329
(205) 271-8541
(205) 271-8541
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529912150
—
AL
01
—
CK5459
RAILROAD MEDICARE
AL
Enumeration date
08/17/2006
Last updated
02/10/2015
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