# GIOVANNY CASADIEGO CUBIDES

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1114817731
- **Gender:** Man
- **Credential:** MD, MSC, FRCPSC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085P0229X | Pediatric Radiology Physician | 77500 | AZ | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | PENDING | AZ | Yes |

## Other

- **Enumeration date:** 07/07/2025
- **Last updated:** 04/02/2026