Provider Demographics
NPI:1417944943
Name:CHENG, MINGFANG ANNIE (MD)
Entity Type:Individual
Prefix:DR
First Name:MINGFANG
Middle Name:ANNIE
Last Name:CHENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5304 MAPLE ST
Mailing Address - Street 2:
Mailing Address - City:BELLAIRE
Mailing Address - State:TX
Mailing Address - Zip Code:77401-4809
Mailing Address - Country:US
Mailing Address - Phone:713-882-3873
Mailing Address - Fax:713-667-6102
Practice Address - Street 1:925 N SHEPHERD DR
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77008-6526
Practice Address - Country:US
Practice Address - Phone:713-486-7200
Practice Address - Fax:713-486-7201
Is Sole Proprietor?:Yes
Enumeration Date:2005-09-30
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXL6012207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX187296201Medicaid
TX0020PJOtherBCBSTX
TX159736105Medicaid