Provider Demographics
NPI:1881767507
Name:QIAO, FENGXIA (MD)
Entity type:Individual
Prefix:DR
First Name:FENGXIA
Middle Name:
Last Name:QIAO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CHRISTINA
Other - Middle Name:FENGXIA
Other - Last Name:QIAO
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:22707 SE 29TH ST
Mailing Address - Street 2:STE F
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98075-9532
Mailing Address - Country:US
Mailing Address - Phone:425-455-2845
Mailing Address - Fax:206-861-8602
Practice Address - Street 1:22707 SE 29TH ST
Practice Address - Street 2:STE F
Practice Address - City:SAMMAMISH
Practice Address - State:WA
Practice Address - Zip Code:98075-9532
Practice Address - Country:US
Practice Address - Phone:425-455-2845
Practice Address - Fax:206-861-8602
Is Sole Proprietor?:No
Enumeration Date:2006-11-17
Last Update Date:2020-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301087978207Q00000X
WAMD60654915207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine