Cardinal Dermatology LLC
Cardinal Dermatology LLC is a Dermatology Physician in South Bend, Indiana. Registered with an NPI since 2023.
- In the registry since
- 2023
- Specialties on file
- 3
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4322 Lafayette BlvdSouth Bend, IN 46614
Phone: (574) 391-1111
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Dermatology Physician (primary) | Taxonomy 207N00000X |
|---|---|
| MOHS-Micrographic Surgery Physician | Taxonomy 207ND0101X |
| Procedural Dermatology Physician | Taxonomy 207NS0135X |
Record details
| NPI number | 1174390926 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Luiz Pantalena Filho — Member · (650) 387-9765 |
| NPI enumerated | December 11, 2023 |
| Last updated in NPPES | January 2, 2025 |
| Certification date | December 31, 2024 |
| Mailing address | 4322 S Lafayette Blvd, South Bend, IN 46614-2189 |
Other providers in South Bend
-
Dr. Holly L Hake-Harris, MD
211 N Eddy St, South Bend, IN 46617-2808 · (574) 237-9231
-
Dr. Mary K Harder, MD
211 N Eddy St, South Bend, IN 46617-2808 · (574) 237-9231
-
Linda Higginbotham, MD
211 N Eddy St, South Bend, IN 46617-2808 · (574) 237-9231
-
Kathleen Kelley, MD
4322 S Lafayette Blvd, South Bend, IN 46614 · (574) 391-1111