Castro, Mario
Castro, Mario is an individual health care provider with primary practice located at 4000 Cambridge St , Kansas City KS 66160-1032. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Castro, Mario can be contacted via phone (913) 588-7529.Contact Information
Primary practice address
4000 Cambridge St
Kansas City KS 66160-1032
Phone: (913) 588-7529
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207LC0200X | 106692 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 106692 | Missouri |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 04-42481 | Kansas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 106692 | Missouri |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 04-42481 | Kansas |
Profile Details
| NPI number | 1881610004 |
|---|---|
| LBN Legal business name | Castro, Mario |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 14th, 2006 |
| Last updated | Nov 8th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881610004 | NPPES |
| Illinois | MEDICAID | ENROLLED | |
| Illinois | MEDICAID | 207670506 |
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