Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 0101102563 | VA |
N | 111NI0900X | Internist | 0101102563 | VA |
Y | 207RG0300X | Geriatric Medicine | 0101102563 | VA |
NPI | 1144294182 |
---|---|
Provider Name | Dr. Marissa Caganap Galicia-Castillo |
First Address | Norfolk, VA 23501-0936 |
Second Address | Norfolk, VA 23507-1914 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/02/2006 |
Last Update Date | 31/03/2010 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
005839670 | (05) | VA |
-022 | TRICARE/CHAMPUS (01) | VA |
063AG | BC/BS (01) | NC |
27711 | SENTARA/OPTIMA HEALTH (01) | VA |
382619 | UHC/MAMSI (01) | VA |
451669 | ANTHEM (01) | VA |
89063AG | (05) | NC |
H34148 | (02) | VA |
PAR | AETNA (01) | VA |
PAR | CIGNA (01) | VA |
PAR | CORVEL/CORCARE (01) | VA |
PAR | FIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY (01) | VA |
PAR | MULTIPLAN (01) | VA |
PAR | USA MANAGED CARE (01) | VA |
PAR | VIRGINIA HEALTH NETWORK (01) | VA |
PAR | VIRGINIA PREMIER HEALTH (01) | VA |