Basic Information
Provider Information
NPI: 1225354756
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ZHENG
FirstName: CHI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 301 W 6TH AVE
Address2:  
City: DENVER
State: CO
PostalCode: 802045182
CountryCode: US
TelephoneNumber: 3034364600
FaxNumber:  
Practice Location
Address1: 777 BANNOCK ST
Address2:  
City: DENVER
State: CO
PostalCode: 802044507
CountryCode: US
TelephoneNumber: 3034366000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/08/2010
LastUpdateDate: 03/25/2021
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/25/2021

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X51704COY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


Home