Provider Demographics
NPI:1831187046
Name:KARDOS, LESLIE S (MD)
Entity type:Individual
Prefix:
First Name:LESLIE
Middle Name:S
Last Name:KARDOS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:2100 WEBSTER ST
Mailing Address - Street 2:STE 518
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-2373
Mailing Address - Country:US
Mailing Address - Phone:415-426-7859
Mailing Address - Fax:415-426-7805
Practice Address - Street 1:2100 WEBSTER ST
Practice Address - Street 2:STE 518
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94115-2373
Practice Address - Country:US
Practice Address - Phone:415-426-7859
Practice Address - Fax:415-426-7805
Is Sole Proprietor?:Yes
Enumeration Date:2005-10-11
Last Update Date:2016-02-04
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA00G73453207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF49474Medicare UPIN
CACA182526Medicare PIN