Provider Demographics
NPI:1457558785
Name:DOUGLAS, LISHI QIAN (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:LISHI
Middle Name:QIAN
Last Name:DOUGLAS
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:LISHI
Other - Middle Name:
Other - Last Name:QIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:870 KAAHUE ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96825-1342
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF HAWAII PATHOLOGY RESIDENCY PROGRAM
Practice Address - Street 2:651 ILALO ST, #401A
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813
Practice Address - Country:US
Practice Address - Phone:808-692-1131
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMDR-5002207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology