Healthcare Provider Details

I. General information

NPI: 1033302625
Provider Name (Legal Business Name): FEI GU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/27/2007
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4200 BECKNER ROAD
SANTA FE NM
87507
US

IV. Provider business mailing address

4200 BECKNER ROAD
SANTA FE NM
87507
US

V. Phone/Fax

Practice location:
  • Phone: 505-477-2200
  • Fax: 505-782-1902
Mailing address:
  • Phone: 505-477-2200
  • Fax: 505-782-1902

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number230285
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207RH0000X
TaxonomyHematology (Internal Medicine) Physician
License Number250614
License Number StateMA
# 3
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number34598
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: