Provider Demographics
NPI:1366524902
Name:MCAFEE, CYNTHIA KAREN (MD)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:KAREN
Last Name:MCAFEE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:8640 GUILFORD RD STE 252
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046-2666
Mailing Address - Country:US
Mailing Address - Phone:410-312-7250
Mailing Address - Fax:410-312-7298
Practice Address - Street 1:8640 GUILFORD RD STE 252
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-2666
Practice Address - Country:US
Practice Address - Phone:410-312-7250
Practice Address - Fax:410-312-7298
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-20
Last Update Date:2018-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00405362084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5791OtherMEDICARE
MD52199204OtherBCBS RENDERING ID#
MD077831100Medicaid
MD225035OtherMAMSI
MDT7080001OtherFED BCBS