Provider Demographics
NPI:1447287610
Name:CHENG, EDWARD (MD)
Entity type:Individual
Prefix:DR
First Name:EDWARD
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:UNIVERSITY OF MINNESOTA PHYSICIANS
Mailing Address - Street 2:2512 SOUTH 7TH STREET, FIRST FLOOR, R102
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55454
Mailing Address - Country:US
Mailing Address - Phone:612-273-1177
Mailing Address - Fax:612-273-7959
Practice Address - Street 1:UNIVERSITY OF MINNESOTA PHYSICIANS
Practice Address - Street 2:2512 SOUTH 7TH STREET, FIRST FLOOR, R102
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55454
Practice Address - Country:US
Practice Address - Phone:612-273-9400
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-06-26
Last Update Date:2012-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN33977207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1961292Medicaid
MN200029018OtherRAILROAD MEDICARE
MN09-22531OtherMEDICA CHOICE
MN101538OtherUCARE
MNHP22026OtherHEALTHPARTNERS
MN2T383CHOtherBCBS
MN09-00027OtherMEDICA PRIMARY
MN667502600Medicaid
MN597778OtherARAZ
MN1009069OtherPREFERRED ONE
MN1009069OtherPREFERRED ONE
MN101538OtherUCARE
MNHP22026OtherHEALTHPARTNERS
MN597778OtherARAZ