Healthcare Provider Details

I. General information

NPI: 1902591092
Provider Name (Legal Business Name): WENG LEONG CHOY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/06/2023
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 WESTSIDE DR NW
CLEVELAND TN
37312-3699
US

IV. Provider business mailing address

1275 DICK LONAS RD
KNOXVILLE TN
37909-1326
US

V. Phone/Fax

Practice location:
  • Phone: 423-472-1511
  • Fax: 833-634-1961
Mailing address:
  • Phone: 865-584-4747
  • Fax: 865-381-1509

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number72050
License Number StateTN
# 2
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License Number72050
License Number StateTN
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: