Healthcare Provider Details

I. General information

NPI: 1174102800
Provider Name (Legal Business Name): CHING YEUNG DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/08/2021
Last Update Date: 11/11/2025
Certification Date: 11/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1411 S COLLEGEVILLE RD
COLLEGEVILLE PA
19426-2957
US

IV. Provider business mailing address

1006 WOLF ST
PHILADELPHIA PA
19148-3002
US

V. Phone/Fax

Practice location:
  • Phone: 484-902-1893
  • Fax:
Mailing address:
  • Phone: 917-238-2215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number25MB12889300
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS022742
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: