Individual
DR. VICTOR CHENG LIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 286-5330
(330) 286-5396
Mailing address
4135 BOARDMAN CANFIELD RD, SUITE 101, CANFIELD, OH 44406-9803
(330) 286-5330
(330) 286-5396
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35.096231
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000826251
ANTHEM BCBS
OH
05
—
0088774
—
OH
05
—
1031435380001
—
PA
01
—
12580619
CAQH
—
01
—
H204880
MEDICARE PTAN
OH
01
—
P01259720
MEDICARE RAILROAD
OH
Enumeration date
06/22/2009
Last updated
05/16/2017
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