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NPI Code Detail

MEDICARE: MICHAEL LIU CHENG MD

MEDICARE: MICHAEL LIU CHENG MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program
2207RC0000XCardiovascular Disease Physician112373GA

General Provider Information

NPI Number : 1528585361
Entity Type Code : Individual
Provider Name (Legal Business Name) : MICHAEL LIU CHENG MD
Provider Business Mailing Address
First Line : 100 WOODRUFF CIR NE STE P375
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1020
Country : US
Telephone Number : 404-727-5655
Fax Number : 404-727-0045
Provider Business Practice Location Address
First Line : 1364 CLIFTON RD NE
Second Line :
City : ATLANTA
State : GA
Zip : 30322-1059
Country : US
Telephone Number : 404-712-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/23/2017
Last Update Date : 04/27/2026

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