Individual
FEI GU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
4200 BECKNER ROAD, SANTA FE, NM 87507
(505) 477-2200
(505) 782-1902
Mailing address
4200 BECKNER ROAD, SANTA FE, NM 87507
(505) 477-2200
(505) 782-1902
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
250614
MA
207RX0202X
Medical Oncology Physician
34598
NH
207RX0202X
Medical Oncology Physician
Primary
MD2015-0842
NM
390200000X
Student in an Organized Health Care Education/Training Program
230285
MA
Other
Enumeration date
08/27/2007
Last updated
03/05/2026
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