Provider Demographics
NPI:1730384678
Name:DAI, QIAN (MD)
Entity type:Individual
Prefix:DR
First Name:QIAN
Middle Name:
Last Name:DAI
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 1:619 SOUTH 19TH STREET, WP 220
Mailing Address - Street 2:
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35233-7331
Mailing Address - Country:US
Mailing Address - Phone:205-613-5069
Mailing Address - Fax:913-934-4060
Practice Address - Street 1:619 SOUTH 19TH STREET, WP 220
Practice Address - Street 2:
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35233-7331
Practice Address - Country:US
Practice Address - Phone:205-613-5069
Practice Address - Fax:913-934-4060
Is Sole Proprietor?:No
Enumeration Date:2007-06-20
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program