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CYNTHIA CHIMDIMMA AGBO MD
NPI 1649025115
Student in an Organized Health Care Education/Training Program in Detroit, MI

Active since April 18, 2024PECOS Enrolled
4201 SAINT ANTOINE ST STE 9C, DETROIT, MI 48201(313) 745-4627(313) 966-7305 Get Directions Write a Review

NPPES record last updated: April 18, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Cynthia Chimdimma Agbo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CYNTHIA CHIMDIMMA AGBO MD (NPI 1649025115) is an individual student in an organized health care education/training program in Detroit, Michigan and active in the NPI registry since April 2024. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649025115
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameCYNTHIA CHIMDIMMA AGBOCredential: MD
Location Address4201 SAINT ANTOINE ST STE 9CDetroit, MI 48201-2153
Mailing Address4201 Saint Antoine St Ste 9cDetroit, MI 48201-2153 · (313) 745-5147 · Fax (313) 966-7305
Phone(313) 745-4627
Fax(313) 966-7305
Sole ProprietorYes
Enumeration DateApril 18, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1649025115 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
4201 SAINT ANTOINE ST STE 9C, Detroit, MI 48201
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Cynthia Chimdimma Agbo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SIKANDER CHOHAN MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 745-5147
ALEX LYNCH DO
Surgery
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 577-5009
FRAOL TESFAYE EREGA MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 745-7888
RACHEL LORRAINE KONCHAL MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 745-5147
PETER MORKOS
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 745-4627
TAIM-ALLAH AL-JARRAH MD
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 745-5146
ABUBAKR ZIAULLAH M.D.
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 745-5147
HAYTHAM A M DWAIK
Student in an Organized Health Care Education/Training Program
4201 SAINT ANTOINE ST STE 9C
DETROIT, MI 48201
Wayne County (313) 745-3000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cynthia Agbo's NPI number?

The NPI number for Cynthia Agbo is 1649025115. It was assigned to this individual provider in the NPPES registry on April 18, 2024.

Where is Cynthia Agbo located?

Cynthia Agbo practices at 4201 Saint Antoine St Ste 9C, Detroit, MI 48201. The listed phone number is (313) 745-4627.

What is Cynthia Agbo's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Cynthia Agbo enrolled in Medicare?

Yes. Cynthia Agbo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Cynthia Agbo was last updated on April 18, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.