Individual
DR. KENNETH PAUL CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
100 BRADFORD ROAD, SUITE 320, WEXFORD, PA 15090
(724) 934-3333
(724) 934-3371
Mailing address
100 BRADFORD ROAD, SUITE 320, WEXFORD, PA 15090
(724) 934-3333
(724) 934-3371
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
MD034125-E
PA
207WX0110X
Pediatric Ophthalmology and Strabismus Specialist Physician
Primary
MD034125-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000003056
BC BS
PA
05
—
0011574060004
—
PA
01
—
0078074
AETNA
PA
01
—
1002364
GATEWAY
PA
01
—
100349
UPMC FOR YOU
PA
01
—
1172353-0003
CIGNA
PA
01
—
178467
BC BS TRADITIONAL
PA
01
—
185020001
UPMC
PA
01
—
63252
UNISON
PA
Enumeration date
11/10/2006
Last updated
04/20/2020
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