Individual
DR. MARIO CASTRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-1032
(913) 588-7529
Mailing address
4000 CAMBRIDGE ST, KANSAS CITY, KS 66160-8501
(913) 588-7529
Taxonomy
Speciality
Code
Description
License number
State
207LC0200X
Critical Care Medicine (Anesthesiology) Physician
106692
MO
207R00000X
Internal Medicine Physician
04-42481
KS
207R00000X
Internal Medicine Physician
106692
MO
207RP1001X
Pulmonary Disease Physician
Primary
04-42481
KS
207RP1001X
Pulmonary Disease Physician
106692
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
207670506
—
MO
05
—
ENROLLED
—
IL
Enumeration date
07/14/2006
Last updated
11/08/2022
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