Provider Demographics
NPI:1033100169
Name:CHENG, HSIN CHAUN (MD)
Entity Type:Individual
Prefix:
First Name:HSIN
Middle Name:CHAUN
Last Name:CHENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9536 CUNNINGHAM RD
Mailing Address - Street 2:
Mailing Address - City:CINCINATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243
Mailing Address - Country:US
Mailing Address - Phone:513-831-1586
Mailing Address - Fax:
Practice Address - Street 1:9536 CUNNINGHAM RD
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45243-1620
Practice Address - Country:US
Practice Address - Phone:513-831-1586
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35038431207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2431514Medicaid
OHCH130151Medicare ID - Type Unspecified
G51872Medicare UPIN