Provider Demographics
NPI:1770595787
Name:LIGHT, BENG CHEAH (MD)
Entity type:Individual
Prefix:DR
First Name:BENG
Middle Name:CHEAH
Last Name:LIGHT
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:46 WALNUT DR
Mailing Address - Street 2:
Mailing Address - City:ORWIGSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17961-9162
Mailing Address - Country:US
Mailing Address - Phone:570-294-0242
Mailing Address - Fax:
Practice Address - Street 1:10 E LEE ST
Practice Address - Street 2:2106
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-6003
Practice Address - Country:US
Practice Address - Phone:410-752-1873
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-12
Last Update Date:2016-05-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD00349222085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology