Individual
MR. RICHARD T CARDOSI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
600 WILSON CREEK RD, LAWRENCEBURG, IN 47025-2751
(812) 532-2700
(812) 537-1507
Mailing address
600 WILSON CREEK RD, LAWRENCEBURG, IN 47025-2751
(812) 532-2700
(812) 537-1507
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
01035414A
IN
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
01035414A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000111516
ANTHEM
—
05
—
00188327
—
OH
01
—
080101086
MEDICARE RAILROAD
IN
05
—
200017380A
—
IN
05
—
64254204
—
KY
Enumeration date
08/25/2006
Last updated
03/10/2023
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