Provider Demographics
NPI:1669094074
Name:CHEUNG, CHRISTOPHER CHING-HANG (MD)
Entity type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:CHING-HANG
Last Name:CHEUNG
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 1:1155 4TH STREET
Mailing Address - Street 2:APT 502
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94158
Mailing Address - Country:US
Mailing Address - Phone:415-535-7288
Mailing Address - Fax:
Practice Address - Street 1:400 PARNASSUS AVE FL 5
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2202
Practice Address - Country:US
Practice Address - Phone:415-502-1115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-05-08
Last Update Date:2022-03-25
Deactivation Date:2022-01-11
Deactivation Code:
Reactivation Date:2022-03-25
Provider Licenses
StateLicense IDTaxonomies
ZZ29994207RC0000X
CAA169340207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty