Individual
SHYH-FANG CHENG
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 N CALIFORNIA ST, STOCKTON, CA 95204-6019
(209) 476-6428
Mailing address
PO BOX 7915, STOCKTON, CA 95267-0915
(209) 475-0309
(209) 475-0387
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
A43452
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A434520
—
CA
Enumeration date
05/18/2006
Last updated
07/08/2007
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