MEDICARE: DR. CYNTHIA NWOKEUKU AUSTIN MD

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
1	207V00000X	Obstetrics & Gynecology Physician	0101054967	VA

General Provider Information

NPI Number	:	1194874172
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CYNTHIA NWOKEUKU AUSTIN MD

Provider Business Mailing Address
First Line	:	PO BOX 7009
Second Line	:
City	:	FAIRFAX STATION
State	:	VA
Zip	:	22039-7009
Country	:	US
Telephone Number	:	571-492-7636
Fax Number	:	540-683-8494

Provider Business Practice Location Address
First Line	:	3543 W BRADDOCK RD STE 400
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22302-1900
Country	:	US
Telephone Number	:	571-492-7636
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	12/04/2025

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