Basic Information
Provider Information
NPI: 1043267800
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: DENG
FirstName: QUANMEI
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 7 PARKWAY CENTER
Address2: SUITE 375
City: PITTSBURGH
State: PA
PostalCode: 15220
CountryCode: US
TelephoneNumber: 4129375700
FaxNumber: 4129375739
Practice Location
Address1: 1201 S MAIN ST
Address2:  
City: CROWN POINT
State: IN
PostalCode: 46307
CountryCode: US
TelephoneNumber: 2197576077
FaxNumber: 2197576261
Other Information
ProviderEnumerationDate: 05/27/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X01056890AINY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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