Canga-Siao, Cynthia Rose

Canga-Siao, Cynthia Rose is an individual health care provider with primary practice located at 74 E Kimballs Ln Ste 300 , Draper UT 84020-5009. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Canga-Siao, Cynthia Rose can be contacted via phone (801) 572-0311.

Contact Information

Primary practice address
74 E Kimballs Ln Ste 300 Draper UT 84020-5009
Phone: (801) 572-0311
Fax: (801) 571-1363
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X A72274 California
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 743003-1205 Utah

Profile Details

NPI number 1669497558
LBN Legal business name Canga-Siao, Cynthia Rose
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Feb 11th, 2022 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669497558 NPPES
Utah MEDICAID 1669497558

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