MEDICARE: BO CHENG DO

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
1	207R00000X	Internal Medicine Physician	34.015555	OH
2	208M00000X	Hospitalist Physician	34.015555	OH

General Provider Information

NPI Number	:	1558361568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BO CHENG DO

Provider Business Mailing Address
First Line	:	PO BOX 7527
Second Line	:
City	:	DUBLIN
State	:	OH
Zip	:	43017-0727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	600 N PICKAWAY ST
Second Line	:
City	:	CIRCLEVILLE
State	:	OH
Zip	:	43113-1447
Country	:	US
Telephone Number	:	614-566-8883
Fax Number	:	614-566-8149

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/01/2005
Last Update Date	:	07/13/2023

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Directions to “ BO CHENG DO” Practice Location

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