Provider Demographics
NPI:1639396922
Name:PENG, JANE FENG (MD,, PHD)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:FENG
Last Name:PENG
Suffix:
Gender:F
Credentials:MD,, PHD
Other - Prefix:
Other - First Name:JIANFENG
Other - Middle Name:
Other - Last Name:PENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD,, PHD
Mailing Address - Street 1:6196 OXON HILL RD
Mailing Address - Street 2:SUITE 385
Mailing Address - City:OXON HILL
Mailing Address - State:MD
Mailing Address - Zip Code:20745-3100
Mailing Address - Country:US
Mailing Address - Phone:301-749-1498
Mailing Address - Fax:301-812-4230
Practice Address - Street 1:6196 OXON HILL RD
Practice Address - Street 2:SUITE 385
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3100
Practice Address - Country:US
Practice Address - Phone:301-749-1498
Practice Address - Fax:301-812-4230
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2015-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD0373212084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology