Provider Demographics
NPI:1053307959
Name:SHI, CINDY QINGXIN (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:CINDY
Middle Name:QINGXIN
Last Name:SHI
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 MOUNT ROSE AVE
Mailing Address - Street 2:SUITE B2
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3026
Mailing Address - Country:US
Mailing Address - Phone:717-851-1405
Mailing Address - Fax:717-812-4087
Practice Address - Street 1:35 MONUMENT RD
Practice Address - Street 2:SUITE 201
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17403-5074
Practice Address - Country:US
Practice Address - Phone:717-812-4083
Practice Address - Fax:717-812-2244
Is Sole Proprietor?:No
Enumeration Date:2005-09-26
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD067998L2085N0904X, 2085R0202X
PABS64819892085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0904XAllopathic & Osteopathic PhysiciansRadiologyNuclear Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA20069119OtherAMERIHEALTH MERCY-WMG
PA1521051OtherGATEWAY WMG
PA50074896OtherCAPITAL BLUE CROSS-WMG
PA235931OtherUNISON-WMG
PA212046OtherJOHNS HOPKINS
MD718401800Medicaid
PA589786OtherHIGHMARK BLUE SHIELD
MD919374OtherCAREFIRST MD BCBS
PA001755235Medicaid
PA7243064OtherAETNA
PA1521051OtherGATEWAY WMG
PA235931OtherUNISON-WMG
PA7243064OtherAETNA