Provider Demographics
NPI:1326508128
Name:WU, QINGQING (MD)
Entity type:Individual
Prefix:DR
First Name:QINGQING
Middle Name:
Last Name:WU
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:614-293-2064
Mailing Address - Fax:614-292-7072
Practice Address - Street 1:241 W 11TH AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43201-2356
Practice Address - Country:US
Practice Address - Phone:614-293-2064
Practice Address - Fax:614-272-7072
Is Sole Proprietor?:No
Enumeration Date:2019-03-20
Last Update Date:2025-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0100895207ZP0102X
OH35.153074207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology