| Kardous Primary Care Inc | |
|
1145 Reservoir Ave Ste 301 Cranston RI 02920 | |
| (401) 946-5001 | |
| (401) 946-5101 |
| Full Name | Kardous Primary Care Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 1145 Reservoir Ave, Cranston, Rhode Island |
| Authorized Official Name and Position | Antioan Kardous (PRESIDENT) |
| Authorized Official Contact | 4019465001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kardous Primary Care Inc 1145 Reservoir Ave Ste 301 Cranston RI 02920-6055 Ph: (401) 946-5001 | Kardous Primary Care Inc 1145 Reservoir Ave Ste 301 Cranston RI 02920 Ph: (401) 946-5001 |
| NPI Number | 1134102841 |
|---|---|
| Provider Enumeration Date | 11/28/2005 |
| Last Update Date | 05/16/2018 |
| Medicare PECOS PAC ID | 6709772965 |
|---|---|
| Medicare Enrollment ID | O20040224001302 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134102841 | NPI | - | NPPES |
| 408195 | Other | RI | BLUE CHIP |
| DB0254 | Other | RAILROAD MEDICARE | |
| 272209 | Other | RI | BLUE CROSS BLUE SHIELD |
| 9003208 | Medicaid | RI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 10089 (Rhode Island) | Primary |
| Provider Name | Antioan Kardous |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538142252 PECOS PAC ID: 1557257706 Enrollment ID: I20040224001282 |
Fallon & Horan Do Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1592 Broad St, Cranston, RI 02905 Phone: 401-467-3350 | |
Park Medical Associates, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 251 Park Ave, Cranston, RI 02905 Phone: 800-927-0002 | |
Roberto Ortiz M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 925 Reservoir Ave, Cranston, RI 02910 Phone: 401-943-9791 Fax: 401-943-1071 | |
Medicine And Long Term Care Associates, Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 333 Budlong Rd, Cranston, RI 02920 Phone: 401-943-4530 | |
Knightsville Internal Medicine Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 1681 Cranston St, Suite D, Cranston, RI 02920 Phone: 401-946-8446 Fax: 401-946-8340 | |
Leonard A Mannarelli Ii, D.o. Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 Atwood Ave, Cranston, RI 02920 Phone: 401-944-1748 Fax: 401-944-1746 |