Provider Demographics
NPI:1962456087
Name:HUANG, CYNTHIA P (MD)
Entity Type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:P
Last Name:HUANG
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 1:842 CORPORATE WAY
Mailing Address - Street 2:SUITE850
Mailing Address - City:WESTLAKE
Mailing Address - State:OH
Mailing Address - Zip Code:44145-1537
Mailing Address - Country:US
Mailing Address - Phone:440-871-4700
Mailing Address - Fax:440-871-4702
Practice Address - Street 1:6909 ROYALTON RD
Practice Address - Street 2:SUITE 203
Practice Address - City:BRECKSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44141-2478
Practice Address - Country:US
Practice Address - Phone:440-526-5101
Practice Address - Fax:440-526-8582
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-22
Last Update Date:2009-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH60548207N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH070014322OtherMEDICARE RAILROAD PIN
OH0802760Medicaid
OH0802760Medicaid
OH070014322OtherMEDICARE RAILROAD PIN
OH0683383Medicare PIN