Provider Demographics
NPI:1285742858
Name:OJASCASTRO, VICTORIA M (MD)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:M
Last Name:OJASCASTRO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:MRS
Other - First Name:VICTORIA
Other - Middle Name:M
Other - Last Name:BEHRMAN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:5715 TELEGRAPH RD
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63129-4221
Mailing Address - Country:US
Mailing Address - Phone:314-846-9190
Mailing Address - Fax:314-846-2968
Practice Address - Street 1:5715 TELEGRAPH RD
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63129-4221
Practice Address - Country:US
Practice Address - Phone:314-846-9190
Practice Address - Fax:314-846-2968
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-25
Last Update Date:2025-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO112573207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MOG59964Medicare UPIN