MEDICARE: EUGENE WAI CHING LEUNG 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
1	207R00000X	Internal Medicine Physician	206547	NY
2	207R00000X	Internal Medicine Physician	200801787	NC

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NC2620J143	OTHER	NC	MEDICARE PIN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1700873460
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	EUGENE WAI CHING LEUNG MD

Provider Business Mailing Address
First Line	:	PO BOX 603949
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28260-3949
Country	:	US
Telephone Number	:	919-350-0351
Fax Number	:	919-350-7687

Provider Business Practice Location Address
First Line	:	2930 FORESTVILLE RD
Second Line	:
City	:	RALEIGH
State	:	NC
Zip	:	27616-8774
Country	:	US
Telephone Number	:	919-235-6500
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/28/2005
Last Update Date	:	01/27/2023

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Directions to “ EUGENE WAI CHING LEUNG MD” Practice Location

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