| Fernando Raul Domingo De Castro, MD | |
|
4150 N 108th Ave, Ste 142, Phoenix, AZ 85037-5467 | |
| (623) 322-1145 | |
| (623) 466-9552 |
| Full Name | Fernando Raul Domingo De Castro |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 4150 N 108th Ave, Phoenix, Arizona |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184617979 | NPI | - | NPPES |
| 64873504 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 30062 (Arizona) | Primary |
| Entity Name | Phoenix West Internal Medicine Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609805530 PECOS PAC ID: 5294733580 Enrollment ID: O20061121000239 |
| Mailing Address | Practice Location Address |
|---|---|
| Fernando Raul Domingo De Castro, MD 9524 W Camelback Rd Pmb 186, Ste 130, Glendale, AZ 85305-0901 Ph: (623) 322-1145 | Fernando Raul Domingo De Castro, MD 4150 N 108th Ave, Ste 142, Phoenix, AZ 85037-5467 Ph: (623) 322-1145 |
Moustafa I Hazin, D.O. Internal Medicine Medicare: Medicare Enrolled Practice Location: 500 W Thomas Rd, Suite 900, Phoenix, AZ 85013 Phone: 602-406-5590 Fax: 602-406-7165 | |
Dr. Ali Shaheen Al-yaqoobi, M.D. Internal Medicine Medicare: Not Enrolled in Medicare Practice Location: 2601 E Roosevelt St, Phoenix, AZ 85008 Phone: 602-344-5411 | |
Dana Archbold, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 1111 E Mcdowell Rd, Phoenix, AZ 85006 Phone: 602-839-2296 Fax: 602-839-2084 | |
Dr. Nilofar Najafian, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 500 W Thomas Rd Ste 480, Phoenix, AZ 85013 Phone: 602-406-5483 Fax: 602-406-5488 | |
Brady Paul Dennison, DO Internal Medicine Medicare: May Accept Medicare Assignments Practice Location: 250 E Dunlap Ave, Phoenix, AZ 85020 Phone: 602-445-0751 Fax: 602-424-8128 | |
Kristina Yancey, Internal Medicine Medicare: Medicare Enrolled Practice Location: 5777 E Mayo Blvd, Phoenix, AZ 85054 Phone: 480-342-2000 | |
Dr. Francisco Cordova, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 29 W Edgemont Ave, Phoenix, AZ 85003 Phone: 602-263-8971 Fax: 602-263-8971 |