Individual
LEONARD A DERIGGI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 DUTCH RIDGE RD, DEPARTMENT OF RADIOLOGY, BEAVER, PA 15009-9727
(724) 773-4567
(724) 728-9729
Mailing address
3572 BRODHEAD RD, SUITE 201, MONACA, PA 15061-3101
(724) 728-6539
(724) 728-7416
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
0101284938
VA
2085R0202X
Diagnostic Radiology Physician
Primary
MD051921L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015378800007
—
PA
05
—
0015378800025
—
PA
01
—
0815059000
INDEPENDENCE BLUE CROSS
PA
05
—
3810006135
—
WV
01
—
DE789597
HIGHMARK
PA
Enumeration date
10/03/2005
Last updated
11/18/2025
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