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NPI Code Detail

MEDICARE: RICHARD C CARDILLO MD

MEDICARE: RICHARD C CARDILLO MD
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
1207RC0200XCritical Care Medicine (Internal Medicine) Physician01046147AIN
2207RS0012XSleep Medicine (Internal Medicine) Physician01046147AIN
3207RP1001XPulmonary Disease Physician01046147AIN

General Provider Information

NPI Number : 1477520807
Entity Type Code : Individual
Provider Name (Legal Business Name) : RICHARD C CARDILLO MD
Provider Business Mailing Address
First Line : 250 W 96TH ST # 520
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1316
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8050 TOWNSHIP LINE RD
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-2478
Country : US
Telephone Number : 317-415-8500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/03/2006
Last Update Date : 11/05/2018

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