Doctor Name: | WARREN TSENG |
NPI Number: | 1851558514 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | |
Business Practice Address: | 2646 E. Banner Gateway Drive Suite #450 Gilbert, AZ - 852342165 |
Business Phone Number: | 4802566444 |
Business Fax Number: | 4802564734 |
Mailing Address: | 2940 E. Banner Gateway Drive, Suite #450 GILBERT |
State: | AZ |
Postal Code: | 852342165 |
Phone Number: | 4802566444 |
Fax Number: | 4802564734 |
NPI Enumeration Date: | 05/20/2008 |
NPI Last Update Date: | 03/06/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |