MEDICARE: DR. ZEMING DENG M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	22700	OK

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	7617500001	OTHER		PALMETTO GBA

General Provider Information

NPI Number	:	1659363463
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ZEMING DENG M.D.

Provider Business Mailing Address
First Line	:	8900 SE 15TH ST
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-8002
Country	:	US
Telephone Number	:	405-737-3278
Fax Number	:	405-737-0240

Provider Business Practice Location Address
First Line	:	8900 SE 15TH ST
Second Line	:
City	:	MIDWEST CITY
State	:	OK
Zip	:	73110-8002
Country	:	US
Telephone Number	:	405-737-3278
Fax Number	:	405-737-0240

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/17/2005
Last Update Date	:	11/29/2023

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