person
Manual A. Casanova, MD
Diagnostic Radiology Physician in Gallipolis, Ohio
NPI 1225080203

Manual A. Casanova is a Diagnostic Radiology Physician based in Gallipolis, OH and is specialized in Diagnostic Radiology. Manual A. Casanova practices in Gallipolis, OH and has the professional credentials of MD. The NPI Number for Manual A. Casanova is 1225080203 and holds a License No. 35-04-1898 (Ohio).

The current practice location address for Manual A. Casanova is 90 Jackson Pike, Gallipolis, OH and can be reached out via phone at 740-446-5709 and via fax at 740-446-5697.

Location: 90 Jackson Pike, Gallipolis, OH, 45631-1560
person
Provider Profile Details
NPI Number
1225080203
Provider Name
Manual A. Casanova
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
90 Jackson Pike, Gallipolis, OH, 45631-1560
Phone Number
740-446-5709
Fax Number
740-446-5697
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000000193267 01 OH UNISON MEDICAID
0118150000 05 WV
000000007167 01 ANTHEM BCBS
001714053 01 MOUNTAIN STATE BCBS
0465296 01 OH MOLINA MEDICAID
300028173 01 RR MEDICARE
institution
Provider Business Practice Location Address Details
Address
90 Jackson Pike
City
State
Zip
45631-1560
Phone Number
740-446-5709
Fax Number
740-446-5697
person
Provider Business Mailing Address Details
Address
90 Jackson Pike
City
State
Zip
45631-1560
Phone Number
740-446-5709
Fax Number
740-446-5697
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
License No.
35-04-1898 (Ohio)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
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