Healthcare Provider Details

I. General information

NPI: 1093394306
Provider Name (Legal Business Name): ADAM Z CHENG MD, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 06/24/2026
Certification Date: 06/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1959 NE PACIFIC ST
SEATTLE WA
98195-0001
US

IV. Provider business mailing address

1100 FAIRVIEW AVE N # M1-B208
SEATTLE WA
98109-4433
US

V. Phone/Fax

Practice location:
  • Phone: 206-543-3605
  • Fax:
Mailing address:
  • Phone: 206-667-5710
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License NumberMD61440960
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: