Provider Demographics
NPI:1487602645
Name:DING, ZHENGUO
Entity type:Individual
Prefix:DR
First Name:ZHENGUO
Middle Name:
Last Name:DING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4656 N UNIVERSITY DR
Mailing Address - Street 2:
Mailing Address - City:LAUDERHILL
Mailing Address - State:FL
Mailing Address - Zip Code:33351-4516
Mailing Address - Country:US
Mailing Address - Phone:954-747-7800
Mailing Address - Fax:954-578-0905
Practice Address - Street 1:4656 N UNIVERSITY DR
Practice Address - Street 2:
Practice Address - City:LAUDERHILL
Practice Address - State:FL
Practice Address - Zip Code:33351-4516
Practice Address - Country:US
Practice Address - Phone:954-747-7800
Practice Address - Fax:954-578-0905
Is Sole Proprietor?:No
Enumeration Date:2006-05-04
Last Update Date:2011-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLAP1936171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist