Provider Demographics
NPI:1659573236
Name:CASAGRANDA, BETHANY (DO)
Entity Type:Individual
Prefix:
First Name:BETHANY
Middle Name:
Last Name:CASAGRANDA
Suffix:
Gender:F
Credentials:DO
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Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:320 E NORTH AVE
Mailing Address - Street 2:ALLEGHENY RADIOLOGY ASSOCIATES
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15212-4756
Mailing Address - Country:US
Mailing Address - Phone:412-359-4113
Mailing Address - Fax:412-359-3103
Practice Address - Street 1:320 E NORTH AVE
Practice Address - Street 2:ALLEGHENY RADIOLOGY ASSOCIATES
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15212-4756
Practice Address - Country:US
Practice Address - Phone:412-359-4113
Practice Address - Fax:412-359-3103
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAOS0123492085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology