Provider Demographics
NPI:1699400580
Name:CARDENAS, KAROL (MD)
Entity Type:Individual
Prefix:
First Name:KAROL
Middle Name:
Last Name:CARDENAS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2695 MERRY OAKS TRL
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-6560
Mailing Address - Country:US
Mailing Address - Phone:336-247-2676
Mailing Address - Fax:
Practice Address - Street 1:2695 MERRY OAKS TRL
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-6560
Practice Address - Country:US
Practice Address - Phone:336-247-2676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-23
Last Update Date:2022-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program