Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208000000X | Pediatrician | 35087553 | OH |
N | 2080P0210X | Pediatric Nephrologist | 35087553 | OH |
NPI | 1861673568 |
---|---|
Provider Name | Milagro Patricia Castaneda-Vidaurre |
First Address | Columbus, OH 43205-2664 |
Second Address | Columbus, OH 43205-2664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 21/11/2007 |
Last Update Date | 15/01/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
2794972 | (05) | OH |
3810011151 | (05) | WV |
7100033930 | (05) | KY |