Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207T00000X | Neurosurgeon | 35131450 | OH |
N | 207T00000X | Neurosurgeon | MD36289 | TN |
NPI | 1073697173 |
---|---|
Provider Name | Joseph Cheng |
First Address | Cincinnati, OH 45263-0001 |
Second Address | Cincinnati, OH 45219-4231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2006 |
Last Update Date | 14/11/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H37785 | (02) |