Individual
DR. SIMON FU FENG
Active
Individual
DR. SIMON FU FENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
01045681A
IN
207QA0401X
Addiction Medicine (Family Medicine) Physician
Primary
01045681
IN
208VP0000X
Pain Medicine Physician
01045681A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080098625
RAILROAD MEDICARE
IN
05
—
200121760
—
IN
Enumeration date
06/09/2005
Last updated
09/03/2026
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