Provider Demographics
NPI:1306410238
Name:QIAN, WEI (PA-C)
Entity type:Individual
Prefix:
First Name:WEI
Middle Name:
Last Name:QIAN
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:305 SEMINOLE AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-4750
Mailing Address - Country:US
Mailing Address - Phone:412-209-9626
Mailing Address - Fax:
Practice Address - Street 1:305 SEMINOLE AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-4750
Practice Address - Country:US
Practice Address - Phone:412-209-9626
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-15
Last Update Date:2024-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVWV-SE-1781363A00000X
PAMA062504363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant