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Sam Siu Lun Cheng

Radiology

Allopathic & Osteopathic Physicians

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

PECOS Enrollment

This provider is enrolled in PECOS as SAM CHENG.

Based on the most recent information from CMS, provider Sam Siu Lun Cheng is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.

Part B
Medicare Part B
Enrolled
HHA
Home Health Agency
Enrolled
DME
Durable Medical Equipment
Enrolled
PMD
Power Mobility Device
Enrolled

CMS last updated its PECOS records 6 days ago.

Profile Details

Provider ID
1467430082
Provider Type
Individual
Full Name
Cheng, Sam Siu Lun
Title
Dr.
Credential
MD

Gender
Male
Sole Proprietor
No
Enumeration Date
1/4/2006
Last Updated
1/15/2025

Contact Information

Practice Location

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

(952) 595-1301

(612) 294-4903

Mailing Location

3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

(952) 595-1301

(612) 294-4903

Provider Taxonomies

Code	Description	License
Code 2085R0202X Primary	Description Radiology Allopathic & Osteopathic Physicians	License 0101840449 Virginia
Code 2085R0202X	Description Radiology Allopathic & Osteopathic Physicians	License 042-0011644 Vermont

Sam Siu Lun Cheng

PECOS Enrollment

Profile Details

Contact Information

Practice Location

Mailing Location

Provider Taxonomies

Code

Description

License

Code

Description

License

Code

Description

License

Willis, Ted S

Williams, Joseph P

Goffigan, John C

Virtual Radiologic Professionals Llc

Caruso, Michael J

Sergeyev, Pavel Nikolayevich

Patel, Rati Narendra

Hellbusch, Amy Rochelle

Joodi, Robert Nima

Lozano, Kay D