Provider Demographics
NPI:1619720497
Name:SAETERN, CHENG
Entity Type:Individual
Prefix:
First Name:CHENG
Middle Name:
Last Name:SAETERN
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4963 E 141ST ST
Mailing Address - Street 2:
Mailing Address - City:GARFIELD HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44125-5033
Mailing Address - Country:US
Mailing Address - Phone:216-633-7092
Mailing Address - Fax:
Practice Address - Street 1:5350 TRANSPORTATION BLVD
Practice Address - Street 2:
Practice Address - City:GARFIELD HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44125-5327
Practice Address - Country:US
Practice Address - Phone:216-435-1110
Practice Address - Fax:216-435-1110
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-10
Last Update Date:2024-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPS.004995175T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist