Provider Demographics
NPI:1598741639
Name:ALLI, CYNTHIA ROSEMARY (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ROSEMARY
Last Name:ALLI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:3905 EL RICON WAY
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-3043
Mailing Address - Country:US
Mailing Address - Phone:916-240-4613
Mailing Address - Fax:916-561-7529
Practice Address - Street 1:5342 DUDLEY BLVD
Practice Address - Street 2:BLDG #98 11C-3
Practice Address - City:MCCLELLAN
Practice Address - State:CA
Practice Address - Zip Code:95652-1012
Practice Address - Country:US
Practice Address - Phone:916-561-7520
Practice Address - Fax:916-561-7529
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2012-11-01
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAG069897207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine