Provider Demographics
NPI:1386726446
Name:TENG, BIBI LEE (MD)
Entity type:Individual
Prefix:DR
First Name:BIBI
Middle Name:LEE
Last Name:TENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 WEST MARKET STREET
Mailing Address - Street 2:SUITE 4
Mailing Address - City:ATHENS
Mailing Address - State:AL
Mailing Address - Zip Code:35611
Mailing Address - Country:US
Mailing Address - Phone:256-233-2229
Mailing Address - Fax:256-233-5463
Practice Address - Street 1:1005 WEST MARKET STREET
Practice Address - Street 2:SUITE 4
Practice Address - City:ATHENS
Practice Address - State:AL
Practice Address - Zip Code:35611
Practice Address - Country:US
Practice Address - Phone:256-233-2229
Practice Address - Fax:256-233-5463
Is Sole Proprietor?:No
Enumeration Date:2006-10-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL15589208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL25059OtherBCBS OF AL
AL25059OtherBCBS OF AL