Balkissoon-Castillo, Shanti

Balkissoon-Castillo, Shanti is an individual health care provider with primary practice located at 8300 Carmel Ave Ne Ste 501 , Albuquerque NM 87122-3125. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as her primary health care specialty. Balkissoon-Castillo, Shanti can be contacted via phone (505) 717-1274.

Contact Information

Primary practice address
8300 Carmel Ave Ne Ste 501 Albuquerque NM 87122-3125
Phone: (505) 717-1274
Fax: (505) 717-1879
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 286 New Mexico

Profile Details

NPI number 1063418556
LBN Legal business name Balkissoon-Castillo, Shanti
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 21st, 2005
Last updated Mar 26th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063418556 NPPES
New Mexico Other 77777 PRESBYTERIAN HEALTH PLAN
New Mexico Other NM005433 PRESBYTERIAN HEALTH PLAN
New Mexico MEDICAID 79774059 PRESBYTERIAN HEALTH PLAN

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