Healthcare Provider Details

I. General information

NPI: 1154380897
Provider Name (Legal Business Name): ALVENA GIGI TCHENG MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/21/2006
Last Update Date: 03/27/2023
Certification Date: 03/27/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 MEDICAL VILLAGE DR
EDGEWOOD KY
41017-3403
US

IV. Provider business mailing address

PO BOX 635283
CINCINNATI OH
45263-5283
US

V. Phone/Fax

Practice location:
  • Phone: 859-301-5650
  • Fax: 859-301-6050
Mailing address:
  • Phone: 859-334-8700
  • Fax: 859-334-8707

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number24437
License Number StateKY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: