Provider Demographics
NPI:1891728739
Name:RABINOV, CYNTHIA ROSE (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:ROSE
Last Name:RABINOV
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3545 SAN DIMAS ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93301
Mailing Address - Country:US
Mailing Address - Phone:661-323-1947
Mailing Address - Fax:661-323-1904
Practice Address - Street 1:3545 SAN DIMAS ST
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93301-1605
Practice Address - Country:US
Practice Address - Phone:661-323-6200
Practice Address - Fax:661-323-6223
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-07
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG70060207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG23314Medicare UPIN
CA00G700600Medicare PIN