Provider Demographics
NPI:1538330964
Name:GAO, QUN CINDY CINDY (MD)
Entity Type:Individual
Prefix:
First Name:QUN CINDY
Middle Name:CINDY
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 1:510 UPPER CHESAPEAKE DRIVE
Mailing Address - Street 2:SUITE 416
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014
Mailing Address - Country:US
Mailing Address - Phone:443-643-4700
Mailing Address - Fax:443-643-4707
Practice Address - Street 1:6336 PHEASANT CT
Practice Address - Street 2:
Practice Address - City:EDINA
Practice Address - State:MN
Practice Address - Zip Code:55436-1920
Practice Address - Country:US
Practice Address - Phone:708-890-2808
Practice Address - Fax:612-870-5491
Is Sole Proprietor?:No
Enumeration Date:2008-03-13
Last Update Date:2022-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0080301207RG0100X
MA248885207RG0100X
MN70626207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology