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NPI Code Detail

MEDICARE: DR. QIAN DAI MD

MEDICARE:  DR. QIAN  DAI  MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207ZP0102XAnatomic Pathology & Clinical Pathology Physician0101283735VA

General Provider Information

NPI Number : 1730384678
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. QIAN DAI MD
Provider Business Mailing Address
First Line : PO BOX 745344
Second Line :
City : ATLANTA
State : GA
Zip : 30374-5344
Country : US
Telephone Number : 804-289-4852
Fax Number : 804-200-7025
Provider Business Practice Location Address
First Line : 1602 SKIPWITH RD
Second Line :
City : RICHMOND
State : VA
Zip : 23229-5205
Country : US
Telephone Number : 804-289-4852
Fax Number : 804-200-7025
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2007
Last Update Date : 01/10/2026

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Directions to “ DR. QIAN DAI MD” Practice Location

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