Provider Demographics
NPI:1174504294
Name:TCHOU, SHENG (MD)
Entity Type:Individual
Prefix:
First Name:SHENG
Middle Name:
Last Name:TCHOU
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 1:411 PRINCETON RD.
Mailing Address - Street 2:SUITE 101
Mailing Address - City:JOHNSON CITY
Mailing Address - State:TN
Mailing Address - Zip Code:37601-2049
Mailing Address - Country:US
Mailing Address - Phone:423-979-2210
Mailing Address - Fax:423-979-2213
Practice Address - Street 1:411 PRINCETON RD
Practice Address - Street 2:SUITE 101
Practice Address - City:JOHNSON CITY
Practice Address - State:TN
Practice Address - Zip Code:37601-2049
Practice Address - Country:US
Practice Address - Phone:423-979-2210
Practice Address - Fax:423-979-2213
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0239632081P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2081P2900XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
3105211OtherBC/BS
TN3086162Medicaid
TN3086162Medicaid
TN3086162Medicare ID - Type Unspecified