Individual
LEI PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
8081 INNOVATION PARK DR STE 765, FAIRFAX, VA 22031-4867
(571) 472-1717
(571) 472-1718
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(410) 933-6423
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
D84351
MD
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
0101281832
VA
2080P0207X
Pediatric Hematology & Oncology Physician
D84351
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D84351
LICENSE
MD
Enumeration date
05/21/2012
Last updated
08/01/2024
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