Provider Demographics
NPI:1659363463
Name:DENG, ZEMING (MD)
Entity Type:Individual
Prefix:DR
First Name:ZEMING
Middle Name:
Last Name:DENG
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 1:8900 SE 15TH ST
Mailing Address - Street 2:
Mailing Address - City:MIDWEST CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73110-8002
Mailing Address - Country:US
Mailing Address - Phone:405-737-3278
Mailing Address - Fax:405-737-0240
Practice Address - Street 1:8900 SE 15TH ST
Practice Address - Street 2:
Practice Address - City:MIDWEST CITY
Practice Address - State:OK
Practice Address - Zip Code:73110-8002
Practice Address - Country:US
Practice Address - Phone:405-737-3278
Practice Address - Fax:405-737-0240
Is Sole Proprietor?:No
Enumeration Date:2005-08-17
Last Update Date:2023-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK22700207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200000790AMedicaid
7617500001OtherPALMETTO GBA
OKH75879`Medicare UPIN
OK200000790AMedicaid