Individual
JEFFREY CHENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
C-AA
Taxonomy
Speciality
Code
Description
License number
State
367H00000X
Anesthesiologist Assistant
Primary
61
SC
367H00000X
Anesthesiologist Assistant
AA390
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AA0050
—
SC
01
—
Q63332
MEDICARE
SC
Enumeration date
06/21/2017
Last updated
01/07/2022
Update your record
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