Active NPIIndividual provider

Dr. Ivan D Cardona, MD

Allergy & Immunology in Portland, Maine

NPI Number1215038088
Practice location
195 Fore River Pkwy, Suite 410, Portland, ME 04102
Fax
207-761-2127
Last updated
January 13, 2015

Ivan D Cardona is an Allergy & Immunology based in Portland, ME. Ivan D Cardona practices in Portland, ME and has the professional credentials of MD. The NPI Number for Ivan D Cardona is 1215038088 and holds a License No. 017151 (ME). The current practice location address for Ivan D Cardona is 195 Fore River Pkwy, Suite 410, Portland, ME 04102 and can be reached out via phone at 207-774-9839 and via fax at 207-761-2127.

Provider Profile Details

NPI Number
1215038088
Provider Name
Ivan D Cardona
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
195 Fore River Pkwy, Suite 410, Portland, ME 04102
Phone Number
207-774-9839
Fax Number
207-761-2127
Primary Taxonomy
Allergy & Immunology · 207K00000X
Sole Proprietor
No
Provider Enumeration Date
September 26, 2006
Last Update Date
January 13, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
195 Fore River Pkwy
Suite 410
Portland, ME 04102
State
Maine
Zip
04102
Phone Number
207-774-9839
Fax Number
207-761-2127
Portland, ME 04102Get directions →

Provider Business Mailing Address Details

Address
195 Fore River Pkwy
Suite 410
Portland, ME 04102
City
Portland
State
ME
Zip
04102
Phone Number
207-774-9839
Fax Number
207-761-2127

License Information

License Number (1)
017151
License State (1)
ME
Taxonomy (1)
Specialist · 174400000X
License Number (2)
017151
License State (2)
ME
Taxonomy (2)
Allergy & Immunology · 207K00000X · Primary
License Number (3)
017151
License State (3)
ME

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Ivan D Cardona, MD?

The NPI number of Dr. Ivan D Cardona, MD is 1215038088. It was assigned on September 26, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Ivan D Cardona, MD?

Dr. Ivan D Cardona, MD is registered under the primary taxonomy Allergy & Immunology (code 207K00000X), licensed in ME under license number 017151.

Where does Dr. Ivan D Cardona, MD practice?

The practice location is 195 Fore River Pkwy, Suite 410, Portland, ME 04102. The office can be reached at 207-774-9839 (phone) or 207-761-2127 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215038088 directly on the NPPES registry website.

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