Provider Demographics
NPI:1417279324
Name:CASTELNOVI, CLAUDIA (MD)
Entity type:Individual
Prefix:DR
First Name:CLAUDIA
Middle Name:
Last Name:CASTELNOVI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2025 W 200 N STE 2
Mailing Address - Street 2:
Mailing Address - City:KAYSVILLE
Mailing Address - State:UT
Mailing Address - Zip Code:84037-4300
Mailing Address - Country:US
Mailing Address - Phone:801-773-8644
Mailing Address - Fax:801-773-9828
Practice Address - Street 1:2025 W 200 N STE 2
Practice Address - Street 2:
Practice Address - City:KAYSVILLE
Practice Address - State:UT
Practice Address - Zip Code:84037-4300
Practice Address - Country:US
Practice Address - Phone:801-773-8644
Practice Address - Fax:801-773-9828
Is Sole Proprietor?:No
Enumeration Date:2010-02-18
Last Update Date:2024-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA111170208000000X
UT12859434-1205208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics