Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 32586 | NC |
NPI | 1023104502 |
---|---|
Provider Name | James Enlou Tcheng |
First Address | Durham, NC 27713-4430 |
Second Address | Durham, NC 27710-4000 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/10/2006 |
Last Update Date | 22/05/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
82269 | BCBS (01) | NC |
8982269 | (05) | NC |
C86721 | (02) |