# TIE QIAN MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1073783569
- **Authorized official:** TIE QIAN MD (PRESIDENT)
- **Authorized official phone:** (954) 746-4980

## Contact information

- **Practice address:** 8890 W OAKLAND PARK BLVD, SUITE 302, SUNRISE, FL 33351-7235
- **Practice address phone:** (954) 746-4980
- **Practice address fax:** (954) 746-4981
- **Mailing address:** 10481 NW 48TH ST, DORAL, FL 33178-4202
- **Mailing address phone:** (954) 746-4980
- **Mailing address fax:** (954) 746-4981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |
| 208D00000X | General Practice Physician | — | NULL | — |
| 208D00000X | General Practice Physician | — | — | — |

## Other

- **Enumeration date:** 03/11/2008
- **Last updated:** 08/11/2008