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NPI Code Detail

MEDICARE: JIN CHENG M.D.

MEDICARE: JIN CHENG M.D.
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
2207Q00000XFamily Medicine PhysicianS5139TX
32084A0401XAddiction Medicine (Psychiatry & Neurology) PhysicianS5139TX

General Provider Information

NPI Number : 1649619917
Entity Type Code : Individual
Provider Name (Legal Business Name) : JIN CHENG M.D.
Provider Business Mailing Address
First Line : 4100 ALLEQUIPPA ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15240
Country : US
Telephone Number : 412-603-6092
Fax Number :
Provider Business Practice Location Address
First Line : 1751 RIVER RUN STE 200
Second Line :
City : FORT WORTH
State : TX
Zip : 76107-6670
Country : US
Telephone Number : 412-360-6092
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2013
Last Update Date : 02/09/2021

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