Provider Demographics
NPI:1205001120
Name:DENG, XIAOLIN (MD, PHD)
Entity Type:Individual
Prefix:
First Name:XIAOLIN
Middle Name:
Last Name:DENG
Suffix:
Gender:M
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:201 S LLOYD ST
Mailing Address - Street 2:PHYSICIANS PLAZA, SUITE E201
Mailing Address - City:ABERDEEN
Mailing Address - State:SD
Mailing Address - Zip Code:57401-4552
Mailing Address - Country:US
Mailing Address - Phone:605-622-2545
Mailing Address - Fax:605-622-2531
Practice Address - Street 1:201 S LLOYD ST
Practice Address - Street 2:PHYSICIANS PLAZA, SUITE E201
Practice Address - City:ABERDEEN
Practice Address - State:SD
Practice Address - Zip Code:57401-4552
Practice Address - Country:US
Practice Address - Phone:605-622-2545
Practice Address - Fax:605-622-2531
Is Sole Proprietor?:No
Enumeration Date:2008-04-23
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD84802084P0800X
MDD897932084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry