Provider Demographics
NPI:1730467804
Name:DAH, KAREN DE CASTRO (MD)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:DE CASTRO
Last Name:DAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:412 E NORTH POINTE DR APT 430
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21804-2337
Mailing Address - Country:US
Mailing Address - Phone:845-707-5914
Mailing Address - Fax:
Practice Address - Street 1:1821 SWEETBAY DR STE 1
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MD
Practice Address - Zip Code:21804-1664
Practice Address - Country:US
Practice Address - Phone:410-546-4427
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-23
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD82637207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology