1053581306 NPI number — DR. MICKIE HSIAO MEI CHENG MD, PHD

Table of content: DR. MICKIE HSIAO MEI CHENG MD, PHD (NPI 1053581306)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1053581306 NPI number — DR. MICKIE HSIAO MEI CHENG MD, PHD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CHENG
Provider First Name:
MICKIE
Provider Middle Name:
HSIAO MEI
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD, PHD
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1053581306
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
03/03/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
UCSF DIABETES CENTER
Provider Second Line Business Mailing Address:
513 PARNASSUS AVE, HSW 1102 BOX 0540
Provider Business Mailing Address City Name:
SAN FRANCISCO
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94143-0001
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
415-502-9581
Provider Business Mailing Address Fax Number:
415-564-5813

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
UCSF ENDOCRINOLOGY CLINIC
Provider Second Line Business Practice Location Address:
500 PARNASSUS AVE, 5TH FLOOR BOX 1222
Provider Business Practice Location Address City Name:
SAN FRANCISCO
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94143-0001
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
415-353-2350
Provider Business Practice Location Address Fax Number:
415-353-2337
Provider Enumeration Date:
03/03/2008

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207RE0101X , with the licence number:  A88309 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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