Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | 201501657 | NC |
N | 207RH0003X | Hematology & Oncology | 35-094901 | OH |
NPI | 1003067455 |
---|---|
Provider Name | Yan Feng |
First Address | Euclid, OH 44117-1714 |
Second Address | Greensboro, NC 27403-1118 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2008 |
Last Update Date | 17/09/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0053388 | (05) | OH |