Yutao Deng, M.D.,
Student in an Organized Health Care Education/Training Program in Philadelphia, PA. Individual provider (NPI-1).
NPI number1558092973
StatusActive
Last updated in NPPESMay 16, 2023
Details
- NPI
- 1558092973
- Entity type
- Individual (NPI-1)
- Name
- Mr. Yutao Deng
- Credential
- M.D.,
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 17, 2022
- Certification date
- May 16, 2023
- Last updated
- May 16, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
Practice location
117 South 11th Street204 Pavilion
Philadelphia, PA 19107
Phone 215-503-3876 · Fax 215-955-2519
Mailing address
117 South 11th Street204 Pavilion
Philadelphia, PA 19107
Phone 215-503-3876 · Fax 215-955-2519
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