MEDICARE: DR. JOHN HANGYU DENG MD

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	390200000X	Student in an Organized Health Care Education/Training Program	2026019550	MO
2	208M00000X	Hospitalist Physician	1021867	MA

General Provider Information

NPI Number	:	1851041479
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOHN HANGYU DENG MD

Provider Business Mailing Address
First Line	:	660 S EUCLID AVE
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1010
Country	:	US
Telephone Number	:	314-454-8201
Fax Number	:	314-362-2609

Provider Business Practice Location Address
First Line	:	1 BARNES JEWISH HOSPITAL PLZ
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63110-1003
Country	:	US
Telephone Number	:	314-454-8201
Fax Number	:	314-362-2609

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

Provider Enumeration Date	:	03/26/2022
Last Update Date	:	06/01/2026

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