Provider Demographics
NPI:1881605087
Name:WILLIAMS, CINDY (RT)
Entity type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:RT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:8333 NAAB RD
Mailing Address - Street 2:STE 250
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46260-5924
Mailing Address - Country:US
Mailing Address - Phone:317-396-1300
Mailing Address - Fax:317-396-1346
Practice Address - Street 1:355 W 16TH ST
Practice Address - Street 2:SUITE 5100
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-2207
Practice Address - Country:US
Practice Address - Phone:317-396-1300
Practice Address - Fax:317-924-8472
Is Sole Proprietor?:No
Enumeration Date:2006-08-11
Last Update Date:2012-09-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IN17149247100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247100000XTechnologists, Technicians & Other Technical Service ProvidersRadiologic Technologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN17149OtherRT CERTIFICATE