Provider Demographics
NPI:1083051122
Name:KASTLE, NADAV LELKES (MD)
Entity Type:Individual
Prefix:
First Name:NADAV
Middle Name:LELKES
Last Name:KASTLE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:NADAV
Other - Middle Name:
Other - Last Name:LELKES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:100 CAMPUS DR UNIT 107
Mailing Address - Street 2:
Mailing Address - City:SCARBOROUGH
Mailing Address - State:ME
Mailing Address - Zip Code:04074-7172
Mailing Address - Country:US
Mailing Address - Phone:207-396-7565
Mailing Address - Fax:207-396-7577
Practice Address - Street 1:100 CAMPUS DR UNIT 107
Practice Address - Street 2:
Practice Address - City:SCARBOROUGH
Practice Address - State:ME
Practice Address - Zip Code:04074-7172
Practice Address - Country:US
Practice Address - Phone:207-396-7565
Practice Address - Fax:207-396-7577
Is Sole Proprietor?:No
Enumeration Date:2013-05-30
Last Update Date:2021-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RILP02800208000000X
MEMD229422080P0207X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0207XAllopathic & Osteopathic PhysiciansPediatricsPediatric Hematology-Oncology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics