Provider Demographics
NPI:1598890261
Name:ANTHONY P. CHENG, M.D.P.C.
Entity Type:Organization
Organization Name:ANTHONY P. CHENG, M.D.P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:P
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-788-1430
Mailing Address - Street 1:601 E HAMPDEN AVE STE 390
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80113-2796
Mailing Address - Country:US
Mailing Address - Phone:303-788-1430
Mailing Address - Fax:303-788-1433
Practice Address - Street 1:601 E HAMPDEN AVE STE 390
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2796
Practice Address - Country:US
Practice Address - Phone:303-788-1430
Practice Address - Fax:303-788-1433
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-22
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO40339174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO35205342Medicaid
B78343Medicare UPIN
505238Medicare ID - Type UnspecifiedMEDICARE GROUP