Individual
SHAN SUSAN CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4620 N HABANA AVE STE 101, TAMPA, FL 33614-7107
(813) 875-9362
(813) 876-7055
Mailing address
4620 N HABANA AVE STE 101, TAMPA, FL 33614-7107
(813) 875-9362
(813) 876-7055
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
ME141994
FL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2014
Last updated
05/06/2021
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