Dr. Casey Grant Costa, MD
Emergency Medicine in Petersburg, VA. Individual provider (NPI-1).
NPI number1134814122
StatusActive
Last updated in NPPESJun 30, 2026
Details
- NPI
- 1134814122
- Entity type
- Individual (NPI-1)
- Name
- Dr. Casey Grant Costa
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 6, 2023
- Certification date
- Jun 30, 2026
- Last updated
- Jun 30, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 0116037906 | VA | Yes |
Practice location
200 Medical Park BlvdPetersburg, VA 23805-9274
Phone 804-765-5681
Mailing address
200 Medical Park BlvdPetersburg, VA 23805-9274
Phone 804-765-5681
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