Provider Demographics
NPI:1841299708
Name:CHENG, ZANDRA H (MD)
Entity type:Individual
Prefix:DR
First Name:ZANDRA
Middle Name:H
Last Name:CHENG
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 1:20 GERMANTOWN RD
Mailing Address - Street 2:
Mailing Address - City:DANBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06810-5023
Mailing Address - Country:US
Mailing Address - Phone:203-739-7040
Mailing Address - Fax:203-739-8516
Practice Address - Street 1:20 GERMANTOWN RD
Practice Address - Street 2:
Practice Address - City:DANBURY
Practice Address - State:CT
Practice Address - Zip Code:06810-5023
Practice Address - Country:US
Practice Address - Phone:203-739-7040
Practice Address - Fax:203-739-8516
Is Sole Proprietor?:No
Enumeration Date:2005-07-21
Last Update Date:2018-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT048661208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery