Provider Demographics
NPI:1235145772
Name:SENG, MICHAEL LEROY (MD)
Entity Type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:LEROY
Last Name:SENG
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 1:5320 HOAG DR
Mailing Address - Street 2:STE A
Mailing Address - City:SHEFFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44035-1484
Mailing Address - Country:US
Mailing Address - Phone:440-934-8777
Mailing Address - Fax:440-934-8778
Practice Address - Street 1:5320 HOAG DR
Practice Address - Street 2:STE A
Practice Address - City:SHEFFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44035-1484
Practice Address - Country:US
Practice Address - Phone:440-934-8777
Practice Address - Fax:440-934-8778
Is Sole Proprietor?:No
Enumeration Date:2006-08-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH0519582084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9354551OtherMEDICARE GROUP PIN
OHSE0892142Medicare ID - Type Unspecified
D97919Medicare UPIN