Provider Demographics
NPI:1851927917
Name:FENG, ASTA (RD)
Entity Type:Individual
Prefix:
First Name:ASTA
Middle Name:
Last Name:FENG
Suffix:
Gender:F
Credentials:RD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:130 LOCHRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27713-9139
Mailing Address - Country:US
Mailing Address - Phone:214-673-7233
Mailing Address - Fax:
Practice Address - Street 1:130 LOCHRIDGE DR
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-9139
Practice Address - Country:US
Practice Address - Phone:214-673-7233
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-20
Last Update Date:2020-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered