Individual
JACQUELINE KWOK LAM CHENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
380 S JUNCTION XING STE 100, WESTFIELD, IN 46074-7852
(317) 399-3550
(317) 399-3555
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
01077808A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102524525
ANTHEM PTAN
IN
05
—
300004647
—
IN
Enumeration date
05/01/2014
Last updated
05/09/2025
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