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NPI Code Detail

MEDICARE: CYNTHIA EBINI M.D

MEDICARE:   CYNTHIA  EBINI  M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician01068562AIN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2P01151386OTHERINRR MEDICARE PTAN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1174786578
Entity Type Code : Individual
Provider Name (Legal Business Name) : CYNTHIA EBINI M.D
Provider Business Mailing Address
First Line : 6626 E 75TH ST
Second Line : SUITE 50
City : INDIANAPOLIS
State : IN
Zip : 46250-2805
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8920 SOUTHPOINTE DR STE B
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46227-7505
Country : US
Telephone Number : 317-497-1900
Fax Number : 317-497-1919
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2008
Last Update Date : 11/27/2023

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Directions to “ CYNTHIA EBINI M.D” Practice Location

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