Healthcare Provider Details

I. General information

NPI: 1215036504
Provider Name (Legal Business Name): MEI CHENG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/14/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2318 E CENTRAL AVE
WICHITA KS
67214-4436
US

IV. Provider business mailing address

2318 E CENTRAL AVE
WICHITA KS
67214-4436
US

V. Phone/Fax

Practice location:
  • Phone: 316-262-2415
  • Fax: 316-262-0318
Mailing address:
  • Phone: 316-262-2415
  • Fax: 316-262-0318

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number04-21993
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: