Provider Demographics
NPI:1003999806
Name:CHENG, EDWARD MAN-YAU (MD PHD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
Middle Name:MAN-YAU
Last Name:CHENG
Suffix:
Gender:M
Credentials:MD PHD
Other - Prefix:DR
Other - First Name:EDDIE
Other - Middle Name:MAN-YAU
Other - Last Name:CHENG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD PHD
Mailing Address - Street 1:1060 SARATOGA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95129-3402
Mailing Address - Country:US
Mailing Address - Phone:408-243-6911
Mailing Address - Fax:408-243-6941
Practice Address - Street 1:1060 SARATOGA AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95129-3402
Practice Address - Country:US
Practice Address - Phone:408-243-6911
Practice Address - Fax:408-243-6941
Is Sole Proprietor?:No
Enumeration Date:2006-10-23
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAC39372207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine