Individual
DR. JOSE A. CARDENAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
410 UNIVERSITY PKWY STE 1520, AIKEN, SC 29801-6840
(803) 502-8400
(803) 641-7015
Mailing address
367 S. GULPH RD, ATTN: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(803) 502-8400
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
83170
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10025379100
—
NE
05
—
10025588700
—
NE
Enumeration date
06/05/2006
Last updated
11/19/2019
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