Provider Demographics
NPI:1407869142
Name:GAO, BIQI (MD)
Entity Type:Individual
Prefix:
First Name:BIQI
Middle Name:
Last Name:GAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 14858
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94539-1858
Mailing Address - Country:US
Mailing Address - Phone:510-770-1300
Mailing Address - Fax:510-770-1313
Practice Address - Street 1:46356 WARM SPRINGS BLVD UNIT 872
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-7998
Practice Address - Country:US
Practice Address - Phone:510-770-1300
Practice Address - Fax:510-770-1313
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA89212207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
BG9203934OtherDEA
I52014Medicare UPIN