MEDICARE: H MICHAEL SYNN 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
1	207V00000X	Obstetrics & Gynecology Physician	G57415	CA

Other Identifiers

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

General Provider Information

NPI Number	:	1902831274
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	H MICHAEL SYNN M.D.

Provider Business Mailing Address
First Line	:	PO BOX 28953
Second Line	:
City	:	FRESNO
State	:	CA
Zip	:	93729-8953
Country	:	US
Telephone Number	:	559-299-7700
Fax Number	:

Provider Business Practice Location Address
First Line	:	722 MEDICAL CENTER DR E
Second Line	:	STE 105
City	:	CLOVIS
State	:	CA
Zip	:	93611-6810
Country	:	US
Telephone Number	:	559-299-7700
Fax Number	:

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

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	01/28/2008

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