Individual
YAN FENG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
350 W 11TH ST, INDIANAPOLIS, IN 46202-4108
(410) 995-8280
Mailing address
9932 CARILLON DR, ELLICOTT CITY, MD 21042-6261
(410) 995-8280
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
MD600003713
DC
390200000X
Student in an Organized Health Care Education/Training Program
01093449A
IN
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
04/02/2020
Last updated
06/03/2025
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