Provider Demographics
NPI:1598774796
Name:CHEUNG, STEVE (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:STEVE
Middle Name:
Last Name:CHEUNG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16550 KODA RD
Mailing Address - Street 2:
Mailing Address - City:APPLE VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92307-1340
Mailing Address - Country:US
Mailing Address - Phone:760-242-5800
Mailing Address - Fax:760-671-3033
Practice Address - Street 1:15462 MAIN ST
Practice Address - Street 2:
Practice Address - City:HESPERIA
Practice Address - State:CA
Practice Address - Zip Code:92345-3318
Practice Address - Country:US
Practice Address - Phone:760-242-5800
Practice Address - Fax:760-671-3033
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2015-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAG69409207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAF19549Medicare UPIN