Provider Demographics
NPI:1427586379
Name:QIU, SUN (MD)
Entity Type:Individual
Prefix:DR
First Name:SUN
Middle Name:
Last Name:QIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:95 COLLIER RD NW STE 4045
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30309-1749
Mailing Address - Country:US
Mailing Address - Phone:404-351-2270
Mailing Address - Fax:
Practice Address - Street 1:95 COLLIER RD NW STE 4045
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30309-1749
Practice Address - Country:US
Practice Address - Phone:404-351-2270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-05-23
Last Update Date:2022-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1250699832084N0400X
GA926202084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology