Healthcare Provider Details

I. General information

NPI: 1326257411
Provider Name (Legal Business Name): CINDY N CHIN MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/22/2007
Last Update Date: 10/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1501 N CAMPBELL AVE
TUCSON AZ
85724-5073
US

IV. Provider business mailing address

1501 N CAMPBELL AVE
TUCSON AZ
85724-5073
US

V. Phone/Fax

Practice location:
  • Phone: 520-626-6077
  • Fax:
Mailing address:
  • Phone: 520-626-6077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0205X
TaxonomyPediatric Endocrinology Physician
License Number46200
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: