Individual
ANTIOAN KARDOUS
Active
Individual
ANTIOAN KARDOUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
10089
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
272209
BLUE CROSS BLUE SHIELD
RI
01
—
2847513
AETNA
—
01
—
408195
BLUE CHIP
RI
05
—
AK35758
—
RI
01
—
P00083165
RAILROAD MEDICARE
—
Enumeration date
11/28/2005
Last updated
07/08/2007
Update your record
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