Provider Demographics
NPI:1346337524
Name:MOGAYZEL, CYNDRA RENEE (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNDRA
Middle Name:RENEE
Last Name:MOGAYZEL
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 1:1912 MANOR GROVE RD
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-2947
Mailing Address - Country:US
Mailing Address - Phone:410-841-1991
Mailing Address - Fax:
Practice Address - Street 1:1912 MANOR GROVE RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-2947
Practice Address - Country:US
Practice Address - Phone:410-841-1991
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0046236208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics