Provider Demographics
NPI:1154421774
Name:GRIGGS, CYNTHIA CLAUDINE (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:CLAUDINE
Last Name:GRIGGS
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18455 JAMES COUZENS FWY
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235
Mailing Address - Country:US
Mailing Address - Phone:313-341-7870
Mailing Address - Fax:313-341-7950
Practice Address - Street 1:18455 JAMES COUZENS FWY
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235
Practice Address - Country:US
Practice Address - Phone:313-341-7870
Practice Address - Fax:313-341-7950
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-24
Last Update Date:2025-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301061868207RN0300X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI4095773Medicaid
MIG77844Medicare UPIN
MI0N99310001Medicare ID - Type Unspecified