Provider Demographics
NPI:1992268759
Name:QIAO, JANA WEI (MD)
Entity type:Individual
Prefix:
First Name:JANA
Middle Name:WEI
Last Name:QIAO
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 1:300 E WENDOVER AVE
Mailing Address - Street 2:
Mailing Address - City:GREENSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27401-1229
Mailing Address - Country:US
Mailing Address - Phone:336-663-5205
Mailing Address - Fax:
Practice Address - Street 1:2630 WILLARD DAIRY RD STE 203
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8328
Practice Address - Country:US
Practice Address - Phone:336-884-3770
Practice Address - Fax:336-884-3771
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2023-01329207QS0010X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207QS0010XAllopathic & Osteopathic PhysiciansFamily MedicineSports Medicine