MEDICARE: CINDY N CHIN 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	2080P0205X	Pediatric Endocrinology Physician	46200	AZ

General Provider Information

NPI Number	:	1326257411
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CINDY N CHIN MD

Provider Business Mailing Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85724-5073
Country	:	US
Telephone Number	:	520-626-6077
Fax Number	:

Provider Business Practice Location Address
First Line	:	1501 N CAMPBELL AVE
Second Line	:
City	:	TUCSON
State	:	AZ
Zip	:	85724-5073
Country	:	US
Telephone Number	:	520-626-6077
Fax Number	:

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

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	10/10/2012

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