person
Shanti Balkissoon-castillo, DPM
Foot & Ankle Surgery Podiatrist in Albuquerque, New Mexico
NPI 1063418556

Shanti Balkissoon-castillo is a Foot & Ankle Surgery Podiatrist based in Albuquerque, NM and is specialized in Foot & Ankle Surgery. Shanti Balkissoon-castillo practices in Albuquerque, NM and has the professional credentials of DPM. The NPI Number for Shanti Balkissoon-castillo is 1063418556 and holds a License No. 286 (New Mexico).

The current practice location address for Shanti Balkissoon-castillo is 8300 Carmel Ave Ne Ste 501, Albuquerque, NM and can be reached out via phone at 505-717-1274 and via fax at 505-717-1879.

Location: 8300 Carmel Ave Ne Ste 501, Albuquerque, NM, 87122-3125
person
Provider Profile Details
NPI Number
1063418556
Provider Name
Shanti Balkissoon-castillo
Credential
DPM
Provider Entity Type
Individual
Gender
Female
Address
8300 Carmel Ave Ne Ste 501, Albuquerque, NM, 87122-3125
Phone Number
505-717-1274
Fax Number
505-717-1879
Provider Enumeration Date
06/21/2005
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
77777 01 NM PRESBYTERIAN HEALTH PLAN
NM005433 01 NM BLUE CROSS BLUE SHIELD
79774059 05 NM
institution
Provider Business Practice Location Address Details
Address
8300 Carmel Ave Ne Ste 501
City
State
Zip
87122-3125
Phone Number
505-717-1274
Fax Number
505-717-1879
person
Provider Business Mailing Address Details
Address
8300 Carmel Ave Ne Ste 501
City
State
Zip
87122-3125
Phone Number
505-717-1274
Fax Number
505-717-1879
person
Provider's Taxonomy Details 1
Type
Podiatric Medicine & Surgery Service Providers
Classification
Podiatrist
Speciality
Foot & Ankle Surgery
Taxonomy
License No.
286 (New Mexico)
Definition
Definition to come...
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