Peter W Castellanos, MD
Peter W Castellanos, MD is a Neurology in Idaho Falls, Idaho. Graduated from University of Kansas School of Med (KC/WICH/SAL) in 1989, 37 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Idaho and Indiana.
- Years since qualifying
- 37
- Trained at
- University of Kansas School of Med (KC/WICH/SAL)
- Licensed in
- ID, IN
- In the registry since
- 2005
- Specialties on file
- 2
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2225 Teton Plz Ste BIdaho Falls, ID 83404-6494
Phone: (208) 529-4300
Fax: (208) 881-5121
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Neurology with Special Qualifications in Child Neurology Physician (primary) | Taxonomy 2084N0402X · Licence M10191 (ID) |
|---|---|
| Neurology with Special Qualifications in Child Neurology Physician | Taxonomy 2084N0402X · Licence 01048179 (IN) |
Record details
| NPI number | 1811991474 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | June 10, 2005 |
| Last updated in NPPES | July 29, 2021 |
| Certification date | July 29, 2021 |
Medicare enrollment
| Medicare specialty | NEUROLOGY |
|---|---|
| Medical school | UNIVERSITY OF KANSAS SCHOOL OF MED (KC/WICH/SAL) |
| Graduated | 1989 (37 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Other providers in Idaho Falls
-
Grand Teton Child Neurology
2225 Teton Plz Ste B, Idaho Falls, ID 83404-6494 · (208) 529-4300