Healthcare Provider Details

I. General information

NPI: 1841602752
Provider Name (Legal Business Name): FEI HUANG M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: FEI HUANG MD

II. Dates (important events)

Enumeration Date: 05/27/2014
Last Update Date: 07/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3300 GALLOWS RD
FALLS CHURCH VA
22042-3300
US

IV. Provider business mailing address

4304 EVERGREEN LN #101
ANNANDALE VA
22003
US

V. Phone/Fax

Practice location:
  • Phone: 703-776-2745
  • Fax: 866-291-4915
Mailing address:
  • Phone: 703-658-8282
  • Fax: 703-658-8283

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License Number0101262670
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: