Provider Demographics
NPI:1396373650
Name:TENG, YICHUN (MB BCHIR)
Entity Type:Individual
Prefix:DR
First Name:YICHUN
Middle Name:
Last Name:TENG
Suffix:
Gender:F
Credentials:MB BCHIR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 WELLINGTON ST W
Mailing Address - Street 2:UNIT 211
Mailing Address - City:TORONTO
Mailing Address - State:ONTARIO
Mailing Address - Zip Code:M5V3W9
Mailing Address - Country:CA
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:350 WELLINGTON ST W
Practice Address - Street 2:UNIT 211
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:M5V3W9
Practice Address - Country:CA
Practice Address - Phone:647-654-4572
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-31
Last Update Date:2020-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program