Kardous, Antioan
Kardous, Antioan is an sole proprietor health care provider with primary practice located at 1145 Reservoir Ave Suite 301, Cranston RI 02920-6055. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Kardous, Antioan can be contacted via phone (401) 946-5001.Contact Information
Primary practice address
1145 Reservoir Ave Suite 301
Cranston RI 02920-6055
Phone: (401) 946-5001
Fax: (401) 946-5101
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 10089 | Rhode Island |
Profile Details
NPI number | 1538142252 |
---|---|
LBN Legal business name | Kardous, Antioan |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Nov 28th, 2005 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1538142252 | NPPES |
Other | 2847513 | AETNA | |
Other | 272209 | AETNA | |
Other | 408195 | AETNA | |
MEDICAID | AK35758 | AETNA | |
Other | P00083165 | AETNA |
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