Individual
DAVID CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1201 S MAIN ST, CROWN POINT, IN 46307-8481
(219) 757-6322
(219) 757-5891
Mailing address
5700 SOUTHWYCK BLVD, TOLEDO, OH 43614-1509
(800) 288-8325
(419) 866-5453
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
01050183A
IN
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036093981
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000649197
BC/BS
IN
01
—
01630255
BCBC
IL
05
—
100162290
—
IN
05
—
100356620
—
IN
05
—
200856740
—
IN
01
—
351173213
HFN
IN
01
—
5273524
CCN
IN
01
—
5497426002
CIGNA
IN
01
—
82435
BCBS
IN
01
—
P00816099
RAILROAD MEDICARE
IN
Enumeration date
08/25/2005
Last updated
01/23/2024
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