Individual
YUAN QIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 308-1467
(603) 640-1228
Mailing address
1 MEDICAL CENTER DR, LEBANON, NH 03756-1000
(603) 308-1467
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
D85526
MD
208M00000X
Hospitalist Physician
Primary
21567
NH
390200000X
Student in an Organized Health Care Education/Training Program
P31347
MD
Other
Enumeration date
05/04/2015
Last updated
12/15/2025
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