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NPI Code Detail

MEDICARE: DR. YAN QI M.D.

MEDICARE: DR. YAN QI 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
1174400000XSpecialistMD070584LPA

General Provider Information

NPI Number : 1982683090
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. YAN QI M.D.
Provider Business Mailing Address
First Line : 124 DEKALB PIKE
Second Line :
City : NORTH WALES
State : PA
Zip : 19454-1853
Country : US
Telephone Number : 215-699-3727
Fax Number :
Provider Business Practice Location Address
First Line : 124 DEKALB PIKE
Second Line :
City : NORTH WALES
State : PA
Zip : 19454-1853
Country : US
Telephone Number : 215-699-3727
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/17/2006
Last Update Date : 07/08/2007

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