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Individual

CORAZON N CARDENO

Active
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Individual

CORAZON N CARDENO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
34085
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2102564
FIRST HEALTH COVENTRY
01
3857005
MEDICARE
05
3857005
TN
05
3857007
TN
01
4137839
BLUE CROSS
TN
01
4144468
BLUE CROSS
TN
01
7100007290
KENTUCKY MEDICAID
KY
01
7117354
AETNA
01
9682809
CIGNA
01
H23857
HEALTHSPRING
01
P00365729
RAILROAD MEDICARE
01
P00395837
RAILROAD MEDICARE
Enumeration date
06/04/2006
Last updated
06/01/2009
Update your record

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