Provider Demographics
NPI:1376595637
Name:ZENG, NINGXIN (MD)
Entity Type:Individual
Prefix:
First Name:NINGXIN
Middle Name:
Last Name:ZENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7211 W DESCHUTES AVE
Mailing Address - Street 2:SUITE D201
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-7715
Mailing Address - Country:US
Mailing Address - Phone:509-783-8195
Mailing Address - Fax:509-783-8265
Practice Address - Street 1:7211 W DESCHUTES AVE
Practice Address - Street 2:SUITE D201
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-7715
Practice Address - Country:US
Practice Address - Phone:509-783-8195
Practice Address - Fax:509-783-8265
Is Sole Proprietor?:No
Enumeration Date:2006-05-16
Last Update Date:2012-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00044855207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAG8877196Medicare PIN
WAI37327Medicare UPIN