Provider Demographics
NPI:1598392631
Name:FENG, XIAOMEI (MD)
Entity Type:Individual
Prefix:
First Name:XIAOMEI
Middle Name:
Last Name:FENG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:DAISY
Other - Middle Name:
Other - Last Name:FENG
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:30 N 1900 E # 3C444
Mailing Address - Street 2:
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84132-5673
Mailing Address - Country:US
Mailing Address - Phone:801-581-3622
Mailing Address - Fax:
Practice Address - Street 1:30 N 1900 E # 3C444
Practice Address - Street 2:
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84132-5673
Practice Address - Country:US
Practice Address - Phone:801-581-3622
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-26
Last Update Date:2021-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12404173-1205207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology