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Organization

CHENG T PAN MD INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHENG TSING PAN MD (PRESIDENT OF CORPORATION)
(937) 667-6774
Entity
Organization

Contact information

Practice address
227 SOUTH GARBER DRIVE, TIPP CITY, OH 45371-1183
(937) 667-6774
(937) 667-2826
Mailing address
227 SOUTH GARBER DRIVE, TIPP CITY, OH 45371-1183
(937) 667-6774
(937) 667-2826

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
35056072
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0817629
OH
Enumeration date
04/12/2007
Last updated
08/22/2020
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