Provider Demographics
NPI:1104892652
Name:CHENG, DAVID S (MD)
Entity type:Individual
Prefix:DR
First Name:DAVID
Middle Name:S
Last Name:CHENG
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:39275 MISSION BLVD
Mailing Address - Street 2:#203
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-5254
Mailing Address - Country:US
Mailing Address - Phone:510-791-1115
Mailing Address - Fax:510-791-6245
Practice Address - Street 1:39275 MISSION BLVD
Practice Address - Street 2:#203
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-5254
Practice Address - Country:US
Practice Address - Phone:510-791-1115
Practice Address - Fax:510-791-6245
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-24
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CA00G247210207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAA42355Medicare UPIN
CA00G247210Medicare ID - Type Unspecified