MEDICARE: QUI H THAI 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
1	207R00000X	Internal Medicine Physician	11488	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	NV1069	OTHER	NV	BLUECROSS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457559254
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUI H THAI MD

Provider Business Mailing Address
First Line	:	6090 S FORT APACHE RD
Second Line	:	145
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5617
Country	:	US
Telephone Number	:	702-877-1688
Fax Number	:	702-877-1888

Provider Business Practice Location Address
First Line	:	6090 S FORT APACHE RD
Second Line	:	145
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5617
Country	:	US
Telephone Number	:	702-877-1688
Fax Number	:	702-877-1888

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

Provider Enumeration Date	:	07/03/2007
Last Update Date	:	11/15/2010

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Directions to “ QUI H THAI MD” Practice Location

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