Healthcare Provider Details

I. General information

NPI: 1194105312
Provider Name (Legal Business Name): QIANG NAI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/03/2015
Last Update Date: 10/17/2025
Certification Date: 10/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 PLEASANT LAKE AVE
HARWICH MA
02645-2552
US

IV. Provider business mailing address

253 PLEASANT LAKE AVE
HARWICH MA
02645-2552
US

V. Phone/Fax

Practice location:
  • Phone: 617-785-2066
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number277012
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number4301513038
License Number StateMI
# 3
Primary TaxonomyN
Taxonomy Code207RX0202X
TaxonomyMedical Oncology Physician
License Number4301513038
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: