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NPI Code Detail

MEDICARE: DR. CYNTHIA A DABNEY MD

MEDICARE: DR. CYNTHIA A DABNEY 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
12085R0001XRadiation Oncology Physician09752TN

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1300012884OTHERTNRR MEDICARE PTAN

General Provider Information

NPI Number : 1598768996
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. CYNTHIA A DABNEY MD
Provider Business Mailing Address
First Line : 3037 S MERIDIAN ST
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46217-3227
Country : US
Telephone Number : 317-536-1354
Fax Number : 317-536-1363
Provider Business Practice Location Address
First Line : 1265 UNION AVE
Second Line :
City : MEMPHIS
State : TN
Zip : 38104-3415
Country : US
Telephone Number : 901-516-7074
Fax Number : 901-726-6145
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2005
Last Update Date : 06/25/2015

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