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NPI Code Detail

MEDICARE: DR. TIEN H. CHENG M.D.

MEDICARE:  DR. TIEN H. CHENG  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
12085N0904XNuclear Radiology PhysicianG41600CA
22085R0202XDiagnostic Radiology PhysicianG41600CA
32085U0001XDiagnostic Ultrasound PhysicianG41600CA
42085R0202XDiagnostic Radiology PhysicianME86768FL

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336108695
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIEN H. CHENG M.D.
Provider Business Mailing Address
First Line : 1770 IOWA AVE STE 280
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-7401
Country : US
Telephone Number : 951-786-0801
Fax Number : 951-786-0460
Provider Business Practice Location Address
First Line : 1770 IOWA AVE STE 280
Second Line :
City : RIVERSIDE
State : CA
Zip : 92507-7401
Country : US
Telephone Number : 951-786-0801
Fax Number : 951-786-0460
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 10/29/2009

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Directions to “ DR. TIEN H. CHENG M.D.” Practice Location

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