Provider Demographics
NPI:1457475279
Name:QIAN, YIFANG (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:YIFANG
Middle Name:
Last Name:QIAN
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:887 POTRERO AVE
Mailing Address - Street 2:SAN FRANCISCO BEHAVIOCAL HEALTH CENTER
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-2869
Mailing Address - Country:US
Mailing Address - Phone:415-206-6391
Mailing Address - Fax:415-206-6918
Practice Address - Street 1:887 POTRERO AVE
Practice Address - Street 2:SAN FRANCISCO BEHAVIOCAL HEALTH CENTER
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-2869
Practice Address - Country:US
Practice Address - Phone:415-206-6391
Practice Address - Fax:415-206-6918
Is Sole Proprietor?:No
Enumeration Date:2007-03-19
Last Update Date:2012-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA563932084N0600X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084N0600XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyClinical Neurophysiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
965194OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER
965194OtherSFGH INTERNAL USE ONLY-COMMERCIAL NUMBER