Provider Demographics
NPI:1790872190
Name:CASTELLANOS, ANA LIA (MD)
Entity Type:Individual
Prefix:DR
First Name:ANA
Middle Name:LIA
Last Name:CASTELLANOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:UK TRANSPLANT CLINIC
Mailing Address - Street 2:740 S. LIMESTONE
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40536-0001
Mailing Address - Country:US
Mailing Address - Phone:859-257-8562
Mailing Address - Fax:859-323-1700
Practice Address - Street 1:UK TRANSPLANT CLINIC
Practice Address - Street 2:740 S. LIMESTONE
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40536-0001
Practice Address - Country:US
Practice Address - Phone:859-257-8562
Practice Address - Fax:859-323-1700
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2019-03-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
KY38843207R00000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine