Individual
JESSE W CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2040 HUTTON RD, SUITE 102, KANSAS CITY, KS 66109-4564
(913) 299-3700
(913) 299-2050
Mailing address
5555 W 58TH ST, MISSION, KS 66202-2722
(913) 432-3780
(913) 432-8463
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0429292
KS
207R00000X
Internal Medicine Physician
36586
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F200000
MEDICARE GROUP NUMBER
KS
Enumeration date
05/04/2006
Last updated
11/12/2007
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