Individual
DR. ROLANDO L CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
310 CAMP RD, POCAHONTAS, AR 72455-9131
(859) 235-0960
(859) 235-3690
Mailing address
2801 MEDICAL CENTER DR, POCAHONTAS, AR 72455-9436
(870) 892-6265
(870) 892-6271
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
E6308
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000047713
ANTHEM
KY
01
—
0228330001
DMERC
KY
01
—
0228330001
MEDICARE DME
—
01
—
1061251
PASSPORT
KY
01
—
14958526000
OHIO BUREAU OF WORKERS CO
KY
01
—
611009038
TAX ID
KY
05
—
64213267
—
KY
05
—
65901761
—
KY
01
—
90012188
MEDICAID DME
KY
Enumeration date
11/16/2005
Last updated
07/08/2013
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