DR. CINDY AGU (NPI# 1215381975) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215381975 |
| Entity Type | Individual |
| Full Name | DR. CINDY AGU |
| Credential | D.O |
| Practice Address |
Children's Hospital of Mi 3901 Beaubien Detroit MI 48201-2119 |
| Mailing Address |
University Pediatricians 4201 St. Antoine - Uhc 5d - Mailbox 226 Detroit MI 48201-2153 |
| Practice Telephone | 3137455638 |
| Practice Fax Number | 3137455867 |
| Mailing Telephone | 3139665051 |
| Mailing Fax Number | 3139665051 |
| Enumeration Date | 2016-04-19 |
| Last Update Date | 2020-06-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2080N0001X |
Pediatrics Specialization: Neonatal-Perinatal Medicine |
5101024859 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
CHILDREN'S HOSPITAL OF MI 3901 BEAUBIEN |
| City | DETROIT |
| State | MI |
| Zip Code | 48201-2119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033188099 | Cathy Patty-resk | Nurse Practitioner | Children's Hospital of Mi, 3950 Beaubien, Detroit, MI 48201 | 2006-03-14 |
| 1386245967 | Ashley Nicole Heffner | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2020-11-02 |
| 1225663388 | Lori Walton | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2020-03-10 |
| 1235649963 | Meghna Shukla | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201 | 2017-10-09 |
| 1336673219 | Tabatha Alrayes | Pediatrics | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2017-04-17 |
| 1427591262 | Elise Guido | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien - Ground Fl, Detroit, MI 48201-2119 | 2016-11-28 |
| 1487196952 | Michael Deraad | Nurse Practitioner | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201 | 2016-11-15 |
| 1487000238 | Ryan Mehendra Surujdeo | Pediatrics | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2016-05-11 |
| 1982059242 | Carl Tabb II | Pediatrics | Children's Hospital of Mi, 3901 Beaubuen, Detroit, MI 48201-2119 | 2016-04-25 |
| 1134509144 | Jason P Miller | Pediatrics | Children's Hospital of Mi, 3901 Beaubien, Detroit, MI 48201-2119 | 2015-06-04 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659989838 | Saima Sharif | Student in an Organized Health Care Education/Training Program | 4201 St Antoine St 9c-uhc Detroit Education & Research, Detroit, MI 48201 | 2020-07-14 |
| 1609494384 | Praveen Kumar Boddu | Student in an Organized Health Care Education/Training Program | 3901,beaubien, Ste 3t72, Children's Hospital, Detroit, MI 48201 | 2020-07-09 |
| 1730707720 | Amr Hassan Abdelghaffar Omar | Pediatrics | 3901 Beaubien St Room 3t72, Children's Hospital of Michigan, Detroit, MI 48201 | 2020-07-07 |
| 1700400694 | Hassan Imtiaz | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine 8c-uhc, Detroit Medical Center, Detroit, MI 48201 | 2020-06-05 |
| 1598389074 | Alaa Awad Elkarim | Student in an Organized Health Care Education/Training Program | 3901 Beaubien St. 3t72, Detroit, MI 48201 | 2020-06-01 |
| 1891319299 | Jeongyeon Hwang | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street University Health Center - 8c, Detroit, MI 48201 | 2020-06-01 |
| 1477176576 | Jaudat Fatima Masood | Student in an Organized Health Care Education/Training Program | 4201 St Antoine Street, University Health Center - 8c, Detroit, MI 48201 | 2020-05-22 |
| 1205459419 | Amit Kumar Dahiya | Student in an Organized Health Care Education/Training Program | 11201 St. Antoine, Room 2e Uhc, Detroit, MI 48201 | 2020-05-21 |
| 1851914188 | Asra Nausheen Shaik | Student in an Organized Health Care Education/Training Program | 4201 St. Antoine St, Room 2e-uhc, Detroit, MI 48201 | 2020-05-21 |
| 1568085751 | Camille Olechowski | Student in an Organized Health Care Education/Training Program | 3901 Chrysler Dr. Detroit Medical Center, Room 5-a 538.1, Detroit, MI 48201 | 2020-05-21 |
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| Taxonomy Code | 2080N0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Neonatal-Perinatal Medicine |
| A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477022721 | Stephanie A Cody | Pediatrics | 4625 2nd Ave Apt 109, Detroit, MI 48201-1238 | 2018-11-15 |
| 1982059242 | Carl Tabb II | Pediatrics | Children's Hospital of Mi, 3901 Beaubuen, Detroit, MI 48201-2119 | 2016-04-25 |
| 1225470289 | Sri Krishna Narayana | Pediatrics | 2799 W Grand Blvd, Wp-3, Detroit, MI 48202-2608 | 2013-07-18 |
| 1518255215 | Sanket M Jani | Pediatrics | Children's Hospital of Mi, 3901 Beaubein, Detroit, MI 48201-2119 | 2011-07-14 |
| 1972798270 | Sanjay Chawla | Pediatrics | 3901 Beaubien St, Department of Neonatology, Detroit, MI 48201-2119 | 2007-09-10 |
| 1518094820 | Delia Arcilla | Pediatrics | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2007-02-27 |
| 1265569578 | Adel Roshdi | Pediatrics | 6071 W Outer Dr, Detroit, MI 48235-2624 | 2007-02-27 |
| 1598838849 | Thomas Mathew | Pediatrics | 7733 E Jefferson Ave, Detroit, MI 48214-3707 | 2006-11-16 |
| 1770542771 | David Da Costa | Pediatrics | 2799 W Grand Blvd, Wp 3 Nicu, Detroit, MI 48202-2608 | 2006-03-20 |
| 1144214651 | Nicholas C Relich | Pediatrics | 22201 Moross Rd, Suite 270, Detroit, MI 48236-2169 | 2005-09-12 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.