Katrina Castillo, MD
Family Medicine in Upper Marlboro, MD. Individual provider (NPI-1).
NPI number1922419282
StatusActive
Last updated in NPPESJun 30, 2021
Details
- NPI
- 1922419282
- Entity type
- Individual (NPI-1)
- Name
- Katrina Castillo
- Credential
- MD
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- May 8, 2014
- Certification date
- Jun 30, 2021
- Last updated
- Jun 30, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | D0089782 | MD | Yes |
Practice location
1221 Mercantile LnUpper Marlboro, MD 20774-5374
Phone 301-618-5500
Mailing address
4203 Harrison St NwWashington, DC 20015-1943
Phone 714-830-8192
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