Provider Demographics
NPI:1548553894
Name:MAHIN, CYNTHIA COX (MD)
Entity type:Individual
Prefix:DR
First Name:CYNTHIA
Middle Name:COX
Last Name:MAHIN
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Gender:F
Credentials:MD
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Mailing Address - Street 1:2406 WEST BROADWAY
Mailing Address - Street 2:JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40211
Mailing Address - Country:US
Mailing Address - Phone:502-775-1211
Mailing Address - Fax:502-775-1221
Practice Address - Street 1:2406 WEST BROADWAY
Practice Address - Street 2:JENCARE NEIGHBORHOOD MEDICAL CENTER WEST BROADWAY, LLC
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40211
Practice Address - Country:US
Practice Address - Phone:502-775-1211
Practice Address - Fax:502-775-1221
Is Sole Proprietor?:No
Enumeration Date:2011-05-19
Last Update Date:2024-02-29
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Provider Licenses
StateLicense IDTaxonomies
OH390200000X
KY46870207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program