Provider Demographics
NPI:1043240401
Name:WILLIAMS, CYNTHIA ALICIA (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ALICIA
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:3555 LOYOLA DR
Mailing Address - Street 2:SUITE D
Mailing Address - City:KENNER
Mailing Address - State:LA
Mailing Address - Zip Code:70065-7706
Mailing Address - Country:US
Mailing Address - Phone:504-464-8750
Mailing Address - Fax:504-464-8751
Practice Address - Street 1:200 W ESPLANADE AVE
Practice Address - Street 2:SUITE314
Practice Address - City:KENNER
Practice Address - State:LA
Practice Address - Zip Code:70065-2489
Practice Address - Country:US
Practice Address - Phone:504-464-8750
Practice Address - Fax:504-464-8751
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-03
Last Update Date:2016-04-12
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
LA05854R207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1323004Medicaid
LA5DL39Medicare UPIN
LA1323004Medicaid