Provider Demographics
NPI:1285610576
Name:AGAGAN, CAESAR CASTRO (MD)
Entity type:Individual
Prefix:DR
First Name:CAESAR
Middle Name:CASTRO
Last Name:AGAGAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Credentials:
Mailing Address - Street 1:PO BOX 7987
Mailing Address - Street 2:
Mailing Address - City:MOBILE
Mailing Address - State:AL
Mailing Address - Zip Code:36670-0987
Mailing Address - Country:US
Mailing Address - Phone:251-633-0573
Mailing Address - Fax:251-633-7367
Practice Address - Street 1:141 TUSCALOOSA ST
Practice Address - Street 2:
Practice Address - City:MOBILE
Practice Address - State:AL
Practice Address - Zip Code:36607-3422
Practice Address - Country:US
Practice Address - Phone:251-433-3344
Practice Address - Fax:251-433-4052
Is Sole Proprietor?:No
Enumeration Date:2005-12-19
Last Update Date:2023-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL23463207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL213145Medicaid
AL290014606OtherRR MEDICARE
AL512-05482OtherBCBS
ALH29012OtherVIVA HEALTH
AL51507365Medicaid
AL1987747OtherUHC
AL7608175OtherAETNA
AL213434Medicaid
AL512-05483OtherBCBS
AL051507365OtherMEDICARE
AL1003499OtherCIGNA HC
AL221315Medicaid
MS00124658OtherMS MEDICAID
AL220390Medicaid
AL515-07365OtherBCBS