Provider Demographics
NPI:1912985383
Name:ENG, CHARIS (MD, PHD, FACP)
Entity Type:Individual
Prefix:PROF
First Name:CHARIS
Middle Name:
Last Name:ENG
Suffix:
Gender:F
Credentials:MD, PHD, FACP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9500 EUCLID AVE
Mailing Address - Street 2:NE-50 CLEVELAND CLINIC GENOMIC MEDICINE INSTITUTE
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44195-0001
Mailing Address - Country:US
Mailing Address - Phone:216-444-3440
Mailing Address - Fax:216-636-0009
Practice Address - Street 1:9500 EUCLID AVE
Practice Address - Street 2:NE-50 CLEVELAND CLINIC GENOMIC MEDICINE INSTITUTE
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44195-0001
Practice Address - Country:US
Practice Address - Phone:216-444-3440
Practice Address - Fax:216-636-0009
Is Sole Proprietor?:No
Enumeration Date:2006-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.075398207SG0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SG0201XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Genetics (M.D.)
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHE86722Medicare UPIN