Healthcare Provider Details

I. General information

NPI: 1508806084
Provider Name (Legal Business Name): CINDY L DELLINGER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/06/2006
Last Update Date: 10/29/2020
Certification Date: 10/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2123 AUBURN AVE ATTN: GYNECOLOGY DEPARTMENT
CINCINNATI OH
45219-2906
US

IV. Provider business mailing address

2123 AUBURN AVE
CINCINNATI OH
45219-2906
US

V. Phone/Fax

Practice location:
  • Phone: 513-585-2393
  • Fax: 513-421-2601
Mailing address:
  • Phone: 513-585-2393
  • Fax: 513-421-2601

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number35055521D
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: