Provider Demographics
NPI:1316923543
Name:WEST, CYNTHIA G (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:G
Last Name:WEST
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:310 LAMBS GAP RD
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17050-2522
Mailing Address - Country:US
Mailing Address - Phone:717-795-9566
Mailing Address - Fax:
Practice Address - Street 1:310 LAMBS GAP RD
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17050-2522
Practice Address - Country:US
Practice Address - Phone:717-795-9566
Practice Address - Fax:717-795-9567
Is Sole Proprietor?:No
Enumeration Date:2005-12-20
Last Update Date:2022-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD027808E207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010603620005Medicaid
PAC34562Medicare UPIN
PA0010603620005Medicaid