Provider Demographics
NPI:1710936067
Name:CARDOZA, MARY K (MD)
Entity Type:Individual
Prefix:DR
First Name:MARY
Middle Name:K
Last Name:CARDOZA
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:2260 GLADSTONE DR STE 5
Mailing Address - Street 2:
Mailing Address - City:PITTSBURG
Mailing Address - State:CA
Mailing Address - Zip Code:94565-5125
Mailing Address - Country:US
Mailing Address - Phone:925-427-0203
Mailing Address - Fax:925-427-5181
Practice Address - Street 1:2260 GLADSTONE DR STE 5
Practice Address - Street 2:
Practice Address - City:PITTSBURG
Practice Address - State:CA
Practice Address - Zip Code:94565-5125
Practice Address - Country:US
Practice Address - Phone:925-427-0203
Practice Address - Fax:925-427-5181
Is Sole Proprietor?:No
Enumeration Date:2006-05-06
Last Update Date:2021-02-11
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Provider Licenses
StateLicense IDTaxonomies
CAG65662208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF83555Medicare UPIN