MEDICARE: YIMING QIN RD

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	133V00000X	Registered Dietitian	86372446	CA

General Provider Information

NPI Number	:	1013867068
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YIMING QIN RD

Provider Business Mailing Address
First Line	:	1026 VERMEER AVE
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20878-4731
Country	:	US
Telephone Number	:	608-957-2761
Fax Number	:

Provider Business Practice Location Address
First Line	:	1026 VERMEER AVE
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20878-4731
Country	:	US
Telephone Number	:	608-957-2761
Fax Number	:

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

Provider Enumeration Date	:	01/30/2026
Last Update Date	:	01/30/2026

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Directions to “ YIMING QIN RD” Practice Location

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