MEDICARE: HIGINIA R CARDENES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2085R0001X	Radiation Oncology Physician	01044781	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1912961657
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HIGINIA R CARDENES M.D.

Provider Business Mailing Address
First Line	:	PO BOX 44994
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46244-0994
Country	:	US
Telephone Number	:	317-274-4402
Fax Number	:	317-274-5168

Provider Business Practice Location Address
First Line	:	535 BARNHILL DR
Second Line	:
City	:	INDIANAPOLIS
State	:	IN
Zip	:	46202-5112
Country	:	US
Telephone Number	:	317-944-5000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/12/2006
Last Update Date	:	07/05/2013

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