Provider Demographics
NPI:1548230600
Name:REDDING, CYNTHIA SPRING (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:SPRING
Last Name:REDDING
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 1:3366 NW EXPRESSWAY
Mailing Address - Street 2:SUITE 730
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-4462
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:73112-4462
Practice Address - Country:US
Practice Address - Phone:405-945-4905
Practice Address - Fax:405-945-4906
Is Sole Proprietor?:Yes
Enumeration Date:2006-01-23
Last Update Date:2010-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK16530174400000X, 207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK16530OtherSTATE LICENSE NUMBER
731519539OtherFEDERAL TAX ID
E28007Medicare UPIN