Provider Demographics
NPI:1508946427
Name:CHENG, CHRISTOPHER H (MD)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:H
Last Name:CHENG
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 1:3196 S MARYLAND PKWY
Mailing Address - Street 2:SUITE 107
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89109-2305
Mailing Address - Country:US
Mailing Address - Phone:702-893-3833
Mailing Address - Fax:702-893-4736
Practice Address - Street 1:3186 S MARYLAND PKWY
Practice Address - Street 2:DEPARTMENT OF EMERGENCY SERVICES
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89109-2317
Practice Address - Country:US
Practice Address - Phone:702-731-8080
Practice Address - Fax:702-893-4736
Is Sole Proprietor?:No
Enumeration Date:2006-10-16
Last Update Date:2009-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV11561207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100507459Medicaid
CABD100ZMedicare PIN
NV101630Medicare ID - Type UnspecifiedMEDICARE ID NUMBER
NV100507459Medicaid
CABD100XMedicare PIN