Healthcare Provider Details

I. General information

NPI: 1598946451
Provider Name (Legal Business Name): PETER SHENG MD INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/20/2007
Last Update Date: 03/14/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8280 MONTGOMERY RD STE 100
CINCINNATI OH
45236
US

IV. Provider business mailing address

8280 MONTGOMERY RD. STE. 100
CINCINNATI OH
45236
US

V. Phone/Fax

Practice location:
  • Phone: 513-528-5900
  • Fax:
Mailing address:
  • Phone: 513-528-5900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number35047646
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number35047646
License Number StateOH

VIII. Authorized Official

Name: CHE-MING JASMIN SHEN
Title or Position: MANAGER
Credential:
Phone: 513-528-2900