Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | SP-0239 | IA |
N | 111NI0900X | Internist | SP-0239 | IA |
Y | 207RN0300X | Nephrologist | SP-0239 | IA |
NPI | 1073281705 |
---|---|
Provider Name | Dr. Chih-Jen Cheng |
First Address | Iowa City, IA 52242-1009 |
Second Address | Iowa City, IA 52242-1009 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/08/2021 |
Last Update Date | 16/09/2021 |