Individual
ANDREW YENHAO PENG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5999 BURKE COMMONS RD, KAISER PERMANENTE BURKE MEDICAL CENTER, BURKE, VA 22015-2880
(703) 249-7700
Mailing address
2101 E JEFFERSON ST, KAISER PERMANENTE MEDICARE ENROLLMENT, ROCKVILLE, MD 20852-4908
(301) 816-2424
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036-118373
IL
207RN0300X
Nephrology Physician
Primary
0101248030
VA
Other
Enumeration date
06/22/2007
Last updated
06/29/2021
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