Provider Demographics
NPI:1992749204
Name:SHIUH-FENG CHENG M D INC
Entity type:Organization
Organization Name:SHIUH-FENG CHENG M D INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHIUH-FENG
Authorized Official - Middle Name:
Authorized Official - Last Name:CHENG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-533-3130
Mailing Address - Street 1:2228 LILIHA ST STE 200
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-1652
Mailing Address - Country:US
Mailing Address - Phone:808-533-3130
Mailing Address - Fax:808-533-3140
Practice Address - Street 1:2228 LILIHA ST STE 200
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1652
Practice Address - Country:US
Practice Address - Phone:808-533-3130
Practice Address - Fax:808-533-3140
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-16
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI526048Medicaid