Provider Demographics
NPI:1396796678
Name:DENG, DONNA Y (MD)
Entity type:Individual
Prefix:DR
First Name:DONNA
Middle Name:Y
Last Name:DENG
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:1635 DIVISADERO ST STE 625
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94115-3045
Mailing Address - Country:US
Mailing Address - Phone:415-476-4029
Mailing Address - Fax:415-476-4150
Practice Address - Street 1:400 PARNASSUS AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94143-2202
Practice Address - Country:US
Practice Address - Phone:415-353-2200
Practice Address - Fax:415-353-2480
Is Sole Proprietor?:No
Enumeration Date:2006-05-12
Last Update Date:2021-12-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA72583208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00A725830Medicaid
CA00A725830Medicaid
CAI11778Medicare UPIN