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CYNTHIA L COOKINGHAM MD PC NPI 1326101304


NPI Information

NPI: 1326101304
Provider Name: CYNTHIA L COOKINGHAM MD PC

Doing Business As: CLARKSTON ALLERGY AND ASTHMA CLINIC PC

Classification: Allergy & Immunology - 207K00000X
Entity Type: Organization
Address:
5885 S MAIN STREET
SUITE #1
CLARKSTON, MI
ZIP 48346
Phone: (248) 620-1900
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CYNTHIA L COOKINGHAM MD PC is an allergy immunology in Clarkston, MI. The provider is an allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. CYNTHIA L COOKINGHAM MD PC NPI is 1326101304. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Clarkston Allergy And Asthma Clinic Pc.

The provider's business location address is:

5885 S MAIN STREET
SUITE #1
CLARKSTON, MI
ZIP 48346
Phone: (248) 620-1900
Fax: (248) 620-1904

The provider's authorized official is Cynthia L Cookingham .
The authorized official title is Md and has the following contact phone number (248) 620-1900.

The enumeration date for this NPI number is 12/19/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207K00000XAllergy & ImmunologyCC048327MICHIGANYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
14322960MEDICAIDMICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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