Provider Demographics
NPI:1548616162
Name:CHENG, DANIEL (MD, MPH)
Entity type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:CHENG
Suffix:
Gender:M
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6053 HEATHWICK CT
Mailing Address - Street 2:
Mailing Address - City:BURKE
Mailing Address - State:VA
Mailing Address - Zip Code:22015-3257
Mailing Address - Country:US
Mailing Address - Phone:732-439-3837
Mailing Address - Fax:
Practice Address - Street 1:160 DENTAL CIR
Practice Address - Street 2:ROOM 4032 BURNETT-WOMACK BLDG., CB# 7050
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27599-5021
Practice Address - Country:US
Practice Address - Phone:919-966-4653
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC218303208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery