Healthcare Provider Details

I. General information

NPI: 1275672487
Provider Name (Legal Business Name): JANET CHENG FUEI HSIEH MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11204 WOODMAR LANE NE
ALBUQUERQUE NM
87111
US

IV. Provider business mailing address

11204 WOODMAR LANE NE
ALBUQUERQUE NM
87111
US

V. Phone/Fax

Practice location:
  • Phone: 505-271-5215
  • Fax: 505-842-8886
Mailing address:
  • Phone: 505-271-5215
  • Fax: 505-842-8886

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number9674
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: