Provider Demographics
NPI:1699718205
Name:CASTILLO, HEIDI A (MD)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:A
Last Name:CASTILLO
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Gender:F
Credentials:MD
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Mailing Address - Street 1:3333 BURNET AVE
Mailing Address - Street 2:ML 4002
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45229-3039
Mailing Address - Country:US
Mailing Address - Phone:513-636-4225
Mailing Address - Fax:513-636-2511
Practice Address - Street 1:6701 FANNIN STREET
Practice Address - Street 2:SUITE 1530
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77030
Practice Address - Country:US
Practice Address - Phone:832-822-3423
Practice Address - Fax:832-825-9065
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2012-09-12
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Provider Licenses
StateLicense IDTaxonomies
OH35.0852582080P0006X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0006XAllopathic & Osteopathic PhysiciansPediatricsDevelopmental - Behavioral Pediatrics