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Individual

DR. SIRI SUNDERI CHENG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
2500 ALHAMBRA AVE, MARTINEZ, CA 94553-3156
(510) 395-2827
Mailing address
2500 ALHAMBRA AVE, MARTINEZ, CA 94553-3156
(925) 370-5111

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
01067065A
IN
207Y00000X
Otolaryngology Physician
Primary
A94243
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
GW571A
MEDICARE PTAN
CA
Enumeration date
01/08/2007
Last updated
01/15/2022
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