Kardous Primary Care Inc

LBN: Kardous Primary Care Inc
Kardous Primary Care Inc is an health care organization with primary practice located at 1145 Reservoir Ave Ste 301, Cranston RI 02920. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Kardous Primary Care Inc can be contacted via phone (401) 946-5001, or through Kardous, Antioan via phone (401) 946-5001.

Contact Information

Primary practice address
1145 Reservoir Ave Ste 301 Cranston RI 02920
Fax: (401) 946-5101
Website:
Authorized official contact:
Name: Kardous, Antioan Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 10089 Rhode Island

Profile Details

NPI number 1134102841
LBN Legal business name Kardous Primary Care Inc
DBA Doing business as
Authorized official Kardous, Antioan Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 28th, 2005
Last updated May 16th, 2018 - about 8 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134102841 NPPES
Rhode Island Other 408195 BLUE CHIP
Rhode Island Other DB0254 BLUE CHIP
Rhode Island Other 272209 BLUE CHIP
Rhode Island MEDICAID 9003208 BLUE CHIP

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