Provider Demographics
NPI:1326047895
Name:KADINGO, RICHARD MICHAEL (MD)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:MICHAEL
Last Name:KADINGO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1050 SE MONTEREY RD
Mailing Address - Street 2:STE 104
Mailing Address - City:STUART
Mailing Address - State:FL
Mailing Address - Zip Code:34994-4512
Mailing Address - Country:US
Mailing Address - Phone:772-283-2020
Mailing Address - Fax:772-220-9582
Practice Address - Street 1:1515 N FLAGLER DR
Practice Address - Street 2:STE 500
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-3428
Practice Address - Country:US
Practice Address - Phone:561-659-9700
Practice Address - Fax:561-659-7153
Is Sole Proprietor?:No
Enumeration Date:2005-07-18
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME58207207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL46356OtherBCBS OF FLORIDA
46356YOtherMEDICARE RETIRED RAILROAD
46356ZOtherMEDICARE RETIRED RAILROAD
FL46346ZMedicare PIN
46356ZOtherMEDICARE RETIRED RAILROAD
FL46356OtherBCBS OF FLORIDA