Provider Demographics
NPI:1114546884
Name:CHENG, YAO-CHIEH (MD)
Entity Type:Individual
Prefix:
First Name:YAO-CHIEH
Middle Name:
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 1:330 W OREGON AVE STE 170
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19148-4748
Mailing Address - Country:US
Mailing Address - Phone:267-338-3411
Mailing Address - Fax:267-780-7332
Practice Address - Street 1:330 W OREGON AVE STE 170
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19148-4748
Practice Address - Country:US
Practice Address - Phone:267-338-3411
Practice Address - Fax:267-780-7332
Is Sole Proprietor?:No
Enumeration Date:2020-04-13
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD482819207R00000X
CT65924207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine