Provider Demographics
NPI:1831419290
Name:ZHAO, QIAN (MD)
Entity type:Individual
Prefix:
First Name:QIAN
Middle Name:
Last Name:ZHAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:6632 ALDERTON ST
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-5206
Mailing Address - Country:US
Mailing Address - Phone:718-886-4608
Mailing Address - Fax:646-680-0054
Practice Address - Street 1:14220 FRANKLIN AVE
Practice Address - Street 2:STE LB
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11355-2619
Practice Address - Country:US
Practice Address - Phone:718-886-4608
Practice Address - Fax:646-680-0054
Is Sole Proprietor?:No
Enumeration Date:2010-06-08
Last Update Date:2017-06-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NY256763207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease