MEDICARE: QUI H THAI MD PC

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

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	P00301786	OTHER	NV	RAILROAD MEDICARE

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
3	NV1069	OTHER	NV	BLUE CROSS

General Provider Information

NPI Number	:	1811984214
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QUI H THAI MD PC

Provider Business Mailing Address
First Line	:	6090 S. FORT APACHE
Second Line	:	145
City	:	LAS VEGAS
State	:	NV
Zip	:	89148-5618
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	:	PRESIDENT
Name	:	QUI H THAI
Credential	:	M.D.
Telephone Number	:	702-877-1688

Provider Enumeration Date	:	09/30/2005
Last Update Date	:	11/08/2010

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Directions to “QUI H THAI MD PC ” Practice Location

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