Provider Demographics
NPI:1851360374
Name:GINGRICH, QUYNN (MD)
Entity Type:Individual
Prefix:DR
First Name:QUYNN
Middle Name:
Last Name:GINGRICH
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 1:16040 N FRIANT RD
Mailing Address - Street 2:
Mailing Address - City:FRIANT
Mailing Address - State:CA
Mailing Address - Zip Code:93626-9765
Mailing Address - Country:US
Mailing Address - Phone:559-822-8286
Mailing Address - Fax:
Practice Address - Street 1:2615 E CLINTON AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93703-2223
Practice Address - Country:US
Practice Address - Phone:559-225-6100
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA88271207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine