Individual
GANG CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4420 DIXIE HWY STE 118, LOUISVILLE, KY 40216-2991
(502) 891-8300
Mailing address
PO BOX 776351, CHICAGO, IL 60677-3851
(502) 588-9490
(502) 272-5339
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT212397
PA
207RC0000X
Cardiovascular Disease Physician
Primary
53752
KY
390200000X
Student in an Organized Health Care Education/Training Program
53752
—
Other
Enumeration date
02/20/2017
Last updated
09/11/2023
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