Provider Demographics
NPI:1457351124
Name:HANSEL, CINDY M (MD)
Entity Type:Individual
Prefix:MS
First Name:CINDY
Middle Name:M
Last Name:HANSEL
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 1:10700 MONTGOMERY RD
Mailing Address - Street 2:SUITE 311
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-3255
Mailing Address - Country:US
Mailing Address - Phone:513-891-0211
Mailing Address - Fax:513-792-5945
Practice Address - Street 1:10700 MONTGOMERY RD
Practice Address - Street 2:SUITE 311
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-3255
Practice Address - Country:US
Practice Address - Phone:513-891-0211
Practice Address - Fax:513-792-5945
Is Sole Proprietor?:No
Enumeration Date:2005-07-26
Last Update Date:2015-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35-07-0774207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2061469Medicaid
G67238Medicare UPIN