Provider Demographics
NPI:1275063943
Name:CASANI, JULIE ANN PAULA (MD, MPH)
Entity Type:Individual
Prefix:
First Name:JULIE ANN
Middle Name:PAULA
Last Name:CASANI
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 CATES AVE CAMPUS BOX 7304
Mailing Address - Street 2:NCSU STUDENT HEALTH SERVICES
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27695
Mailing Address - Country:US
Mailing Address - Phone:919-513-3290
Mailing Address - Fax:
Practice Address - Street 1:2815 CATES AVENUE
Practice Address - Street 2:NCSU STUDENT HEALTH SERVICES
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27685-7304
Practice Address - Country:US
Practice Address - Phone:919-513-3290
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-06-15
Last Update Date:2017-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2006-01222207P00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine