Provider Demographics
NPI:1982815676
Name:CHENG, SOPHIA HUANG SHAO (MD)
Entity type:Individual
Prefix:
First Name:SOPHIA
Middle Name:HUANG SHAO
Last Name:CHENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HUANG
Other - Middle Name:
Other - Last Name:SHAO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:710 S 348TH ST STE B
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-7042
Mailing Address - Country:US
Mailing Address - Phone:206-651-4587
Mailing Address - Fax:
Practice Address - Street 1:1940 116TH AVE NE STE 200
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-3074
Practice Address - Country:US
Practice Address - Phone:206-486-2926
Practice Address - Fax:206-899-1299
Is Sole Proprietor?:No
Enumeration Date:2007-05-24
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD603175112084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2024811Medicaid