Provider Demographics
NPI:1225015381
Name:CHEUNG, ERIC S (MD)
Entity Type:Individual
Prefix:
First Name:ERIC
Middle Name:S
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1518 N MCKENZIE ST
Mailing Address - Street 2:SUITE 400
Mailing Address - City:FOLEY
Mailing Address - State:AL
Mailing Address - Zip Code:36535-2277
Mailing Address - Country:US
Mailing Address - Phone:251-424-1130
Mailing Address - Fax:251-424-1131
Practice Address - Street 1:1518 N MCKENZIE ST
Practice Address - Street 2:SUITE 400
Practice Address - City:FOLEY
Practice Address - State:AL
Practice Address - Zip Code:36535-2277
Practice Address - Country:US
Practice Address - Phone:251-424-1130
Practice Address - Fax:251-424-1131
Is Sole Proprietor?:No
Enumeration Date:2005-12-29
Last Update Date:2020-11-13
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Provider Licenses
StateLicense IDTaxonomies
ALMD.30160207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL122081Medicaid
AL198183Medicaid
AL189835Medicaid
IA2167312Medicaid
IA44142Medicare PIN
IAG65406Medicare UPIN