Individual
DR. ROBERTO A PENNE-CASANOVA
Active
Individual
DR. ROBERTO A PENNE-CASANOVA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
37074
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000235989
ANTHEM BLUE CROSS BLUE SHIELD
KY
01
—
1170390
PASSPORT HEALTH PLAN
KY
05
—
200386450A
—
IN
01
—
2440625000
PASSPORT ADVANTAGE
KY
05
—
64048564
—
KY
01
—
P00022895
RAILROAD MEDICARE
KY
Enumeration date
03/27/2006
Last updated
07/01/2010
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