Provider Demographics
NPI:1225316193
Name:DENG, MIN (MD)
Entity Type:Individual
Prefix:DR
First Name:MIN
Middle Name:
Last Name:DENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 WISCONSIN AVE STE 730
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4447
Mailing Address - Country:US
Mailing Address - Phone:301-951-2400
Mailing Address - Fax:
Practice Address - Street 1:5530 WISCONSIN AVE STE 730
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4447
Practice Address - Country:US
Practice Address - Phone:301-951-2400
Practice Address - Fax:301-951-2401
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-26
Last Update Date:2019-04-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD046878207N00000X, 207ND0101X
MDD0086823207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology