Provider Demographics
NPI:1447205216
Name:QIU, WEI (MD)
Entity Type:Individual
Prefix:
First Name:WEI
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 1:221 WELLSIAN WAY
Mailing Address - Street 2:SUITE 102
Mailing Address - City:RICHLAND
Mailing Address - State:WA
Mailing Address - Zip Code:99352-4120
Mailing Address - Country:US
Mailing Address - Phone:509-946-0900
Mailing Address - Fax:509-946-8900
Practice Address - Street 1:221 WELLSIAN WAY
Practice Address - Street 2:SUITE 102
Practice Address - City:RICHLAND
Practice Address - State:WA
Practice Address - Zip Code:99352-4120
Practice Address - Country:US
Practice Address - Phone:509-946-0900
Practice Address - Fax:509-946-8900
Is Sole Proprietor?:Yes
Enumeration Date:2006-05-23
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD00040294207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA1114198Medicaid
WA1114198Medicaid
WAAB27211Medicare PIN