Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | 35.134482 | OH |
N | 207XS0117X | Orthopaedic Spine Surgeon | MD60722668 | WA |
NPI | 1053600742 |
---|---|
Provider Name | Dr. Christina W Cheng |
First Address | Cleveland, OH 44106-1716 |
Second Address | Cleveland, OH 44106-1716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/04/2011 |
Last Update Date | 22/12/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1053600742 | (05) | WA |
8966603 | MEDICARE PIN (01) | WA |