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Individual

GANG CHENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 550-4792
Mailing address
600 COFFEE RD, MODESTO, CA 95355-4201
(209) 521-6097

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
002997
GA
207RA0201X
Allergy & Immunology (Internal Medicine) Physician
Primary
A115643
CA

Other

Enumeration date
06/25/2008
Last updated
07/21/2022
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