MEDICARE: WEIMIN QU M.D.

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
1	207V00000X	Obstetrics & Gynecology Physician	226060	NY

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1831169473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WEIMIN QU M.D.

Provider Business Mailing Address
First Line	:	13329 41ST RD
Second Line	:	2A
City	:	FLUSHING
State	:	NY
Zip	:	11355-3670
Country	:	US
Telephone Number	:	718-888-0021
Fax Number	:	718-228-6988

Provider Business Practice Location Address
First Line	:	13329 41ST RD
Second Line	:	2A
City	:	FLUSHING
State	:	NY
Zip	:	11355-3670
Country	:	US
Telephone Number	:	718-888-0021
Fax Number	:	718-228-6988

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	12/05/2011

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Directions to “ WEIMIN QU M.D.” Practice Location

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