Provider Demographics
NPI:1164492427
Name:CHENG, SHI-CHI (MD)
Entity type:Individual
Prefix:DR
First Name:SHI-CHI
Middle Name:
Last Name:CHENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:930 FRANKLIN ST SE
Mailing Address - Street 2:
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35801-4312
Mailing Address - Country:US
Mailing Address - Phone:256-539-4080
Mailing Address - Fax:256-539-4099
Practice Address - Street 1:930 FRANKLIN ST SE
Practice Address - Street 2:
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35801-4312
Practice Address - Country:US
Practice Address - Phone:256-539-4080
Practice Address - Fax:256-539-4099
Is Sole Proprietor?:No
Enumeration Date:2006-01-26
Last Update Date:2009-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL21892207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL000037984Medicaid
AL111650Medicaid
AL51037984OtherBCBS
AL51049391OtherBCBS
ALP00762369OtherRAILROAD MEDICARE
AL51049233OtherBCBS
AL51049392OtherBCBS
AL51592643OtherBCBS
AL111651Medicaid
AL51041431OtherBCBS
060052959OtherRAILROAD MEDICARE
AL111652Medicaid
AL51049389OtherBCBS
AL51049393OtherBCBS
AL111653Medicaid
AL111656Medicaid
AL51040394OtherBCBS
AL111657Medicaid
TN3113580OtherBCBS
TN3334302Medicaid
AL51047238OtherBCBS
AL51049390OtherBCBS
5217657OtherAETNA
25-10290OtherUNITED HEALTHCARE
AL111653Medicaid
AL111652Medicaid
TN3334302Medicaid
102I062854Medicare PIN