Provider Demographics
NPI:1427212893
Name:CYNTHIA REDDING MD PC
Entity Type:Organization
Organization Name:CYNTHIA REDDING MD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:CYNTHIA
Authorized Official - Middle Name:SPRING
Authorized Official - Last Name:REDDING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-945-4905
Mailing Address - Street 1:3366 NW EXPRESSWAY
Mailing Address - Street 2:SUITE 730
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4454
Mailing Address - Country:US
Mailing Address - Phone:405-945-4905
Mailing Address - Fax:405-945-4906
Practice Address - Street 1:3366 NW EXPRESSWAY
Practice Address - Street 2:SUITE 730
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4454
Practice Address - Country:US
Practice Address - Phone:405-945-4905
Practice Address - Fax:405-945-4906
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-15
Last Update Date:2008-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty