Provider Demographics
NPI:1629239793
Name:RYAN, QIN C (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:QIN
Middle Name:C
Last Name:RYAN
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 1:2306 FALLING CREEK RD
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20904-5267
Mailing Address - Country:US
Mailing Address - Phone:301-796-1449
Mailing Address - Fax:301-388-0937
Practice Address - Street 1:2306 FALLING CREEK RD
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20904-5267
Practice Address - Country:US
Practice Address - Phone:301-388-0937
Practice Address - Fax:301-388-0937
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-21
Last Update Date:2008-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA066321207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine