Individual
NII SABAN QUAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., P.C.
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD10850
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3184831
—
TN
01
—
621131838
TAX IDENTIFICATION NUMBER
TN
Enumeration date
11/29/2006
Last updated
02/06/2012
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