Provider Demographics
NPI:1750464996
Name:AMUNDSEN, CINDY (MD)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:AMUNDSEN
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5324 MCFARLAND RD STE 310
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-6864
Mailing Address - Country:US
Mailing Address - Phone:919-401-1010
Mailing Address - Fax:
Practice Address - Street 1:5324 MCFARLAND RD STE 310
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6864
Practice Address - Country:US
Practice Address - Phone:919-401-1000
Practice Address - Fax:919-401-1037
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2025-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC98-01142207V00000X, 207VF0040X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VF0040XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyUrogynecology and Reconstructive Pelvic Surgery
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
G08145Medicare ID - Type Unspecified
NC891169KMedicare ID - Type Unspecified
NC2265872Medicare ID - Type Unspecified