Provider Demographics
NPI:1699264309
Name:CHENG, SHIH-KANG (RDCS,RVT, RDMS)
Entity type:Individual
Prefix:
First Name:SHIH-KANG
Middle Name:
Last Name:CHENG
Suffix:
Gender:M
Credentials:RDCS,RVT, RDMS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6359 SAN RUFO CIR
Mailing Address - Street 2:
Mailing Address - City:BUENA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:90620-3639
Mailing Address - Country:US
Mailing Address - Phone:720-660-5293
Mailing Address - Fax:877-436-3472
Practice Address - Street 1:6359 SAN RUFO CIR
Practice Address - Street 2:
Practice Address - City:BUENA PARK
Practice Address - State:CA
Practice Address - Zip Code:90620-3639
Practice Address - Country:US
Practice Address - Phone:720-660-5293
Practice Address - Fax:877-436-3472
Is Sole Proprietor?:No
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2471S1302XTechnologists, Technicians & Other Technical Service ProvidersRadiologic TechnologistSonography
Provider Identifiers
StateIdentifier IDID TypeIssuer
$$$$$$$$$OtherSONOGRAPHY