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
Fax: (401) 946-5101
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538142252 NPPES
Other 2847513 AETNA
Other 272209 AETNA
Other 408195 AETNA
MEDICAID AK35758 AETNA
Other P00083165 AETNA

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