Provider Demographics
NPI:1164456620
Name:HOWARD, CYNTHIA RUTH (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:RUTH
Last Name:HOWARD
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:420 DELAWARE STREET SE, MMC 391
Mailing Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55455
Mailing Address - Country:US
Mailing Address - Phone:612-624-1112
Mailing Address - Fax:612-624-8927
Practice Address - Street 1:516 DELAWARE STREET SE, PWB FOURTH FLOOR, ROOM 4-100
Practice Address - Street 2:UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55455
Practice Address - Country:US
Practice Address - Phone:612-884-0936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-10
Last Update Date:2012-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN48146208000000X, 2080P0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
No2080P0208XAllopathic & Osteopathic PhysiciansPediatricsPediatric Infectious Diseases
Provider Identifiers
StateIdentifier IDID TypeIssuer
MT0146991Medicaid
MN92-12094OtherMEDICA PRIMARY
MN135291OtherUCARE
MN92-00195OtherMEDICA CHOICE
IA0713859Medicaid
MN096628200Medicaid
MN2386134OtherARAZ
MN1044937OtherPREFERRED ONE
MN510K8HOOtherBCBS
MNHP56601OtherHEALTHPARTNERS
MN096628200Medicaid
IA0713859Medicaid
MT0146991Medicaid