Provider Demographics
NPI:1427074764
Name:CHEUNG, PAMELA P (MD)
Entity type:Individual
Prefix:DR
First Name:PAMELA
Middle Name:P
Last Name:CHEUNG
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 1:2101 MEDICAL PARK DR
Mailing Address - Street 2:SUITE 101
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20902-4053
Mailing Address - Country:US
Mailing Address - Phone:301-681-6600
Mailing Address - Fax:301-916-9522
Practice Address - Street 1:2101 MEDICAL PARK DR
Practice Address - Street 2:SUITE 101
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20902-4053
Practice Address - Country:US
Practice Address - Phone:301-681-6600
Practice Address - Fax:301-916-9522
Is Sole Proprietor?:No
Enumeration Date:2006-07-13
Last Update Date:2023-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0056055207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
2129884OtherUHC/MAMSI
00005OtherBLUE CROSS BLUE SHIELD
1984178OtherUNITED HEALTHCARE
7538135OtherAETNA
2129884OtherUHC/MAMSI
014766G99Medicare ID - Type Unspecified