Provider Demographics
NPI:1386655132
Name:TSERING, CHOCK (MD)
Entity type:Individual
Prefix:DR
First Name:CHOCK
Middle Name:
Last Name:TSERING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 734
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:NC
Mailing Address - Zip Code:28111-0734
Mailing Address - Country:US
Mailing Address - Phone:704-283-8811
Mailing Address - Fax:704-283-2980
Practice Address - Street 1:1414 ELLEN ST
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:NC
Practice Address - Zip Code:28112-5173
Practice Address - Country:US
Practice Address - Phone:704-283-8811
Practice Address - Fax:866-339-8381
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2001007982084P2900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P2900XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCP00226109OtherRAILROAD MEDICARE
NC89129YAMedicaid
NC89129YAMedicaid
NCP00226109OtherRAILROAD MEDICARE