Provider Demographics
NPI:1932325073
Name:CASTRO, SYLVIA C (MD)
Entity Type:Individual
Prefix:MS
First Name:SYLVIA
Middle Name:C
Last Name:CASTRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15255 N 40TH ST SUITE 105
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-4636
Mailing Address - Country:US
Mailing Address - Phone:602-867-2690
Mailing Address - Fax:602-404-1904
Practice Address - Street 1:15255 N 40TH ST SUITE 105
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85032-4636
Practice Address - Country:US
Practice Address - Phone:602-867-2690
Practice Address - Fax:602-404-1904
Is Sole Proprietor?:No
Enumeration Date:2007-04-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ36794207VX0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VX0000XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyObstetrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ36794OtherSTATELICENSE NUMBER