Provider Demographics
NPI:1366719858
Name:QI, ZHONGXIA (PHD)
Entity type:Individual
Prefix:
First Name:ZHONGXIA
Middle Name:
Last Name:QI
Suffix:
Gender:M
Credentials:PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:451 KANSAS ST UNIT 328
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94107-2358
Mailing Address - Country:US
Mailing Address - Phone:415-676-1384
Mailing Address - Fax:415-353-4877
Practice Address - Street 1:185 BERRY STREET, SUITE 290, ROOM 2421
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94107-1773
Practice Address - Country:US
Practice Address - Phone:415-353-4844
Practice Address - Fax:415-353-4877
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-28
Last Update Date:2011-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAMTO 00000499207SC0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207SC0300XAllopathic & Osteopathic PhysiciansMedical GeneticsClinical Cytogenetics