Healthcare Provider Details

I. General information

NPI: 1174186985
Provider Name (Legal Business Name): HANSEN DENG M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2019
Last Update Date: 08/06/2026
Certification Date: 08/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

UNIVERSITY OF PITTSBURGH MEDICAL CENTER, DEPARTMENT OF 200 LOTHROP ST. SUITE B-400
PITTSBURGH PA
15213
US

IV. Provider business mailing address

3600 FORBES AVENUE FORBES TOWER - PLAZA LEVEL SUITE 140
PITTSBURGH PA
15213
US

V. Phone/Fax

Practice location:
  • Phone: 412-647-6777
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207T00000X
TaxonomyNeurological Surgery Physician
License NumberA208987
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: