Provider Demographics
NPI:1497999593
Name:MENG, TZE-CHIANG (MD)
Entity Type:Individual
Prefix:
First Name:TZE-CHIANG
Middle Name:
Last Name:MENG
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 1:1115 TRAPPERS CT
Mailing Address - Street 2:
Mailing Address - City:LINO LAKES
Mailing Address - State:MN
Mailing Address - Zip Code:55038-9132
Mailing Address - Country:US
Mailing Address - Phone:952-818-5850
Mailing Address - Fax:
Practice Address - Street 1:1115 TRAPPERS CT
Practice Address - Street 2:
Practice Address - City:LINO LAKES
Practice Address - State:MN
Practice Address - Zip Code:55038-9132
Practice Address - Country:US
Practice Address - Phone:952-818-5850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-21
Last Update Date:2013-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN40073207RI0200X
CAG059539207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease