Individual
QI CAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Mailing address
22 S GREENE ST, DEPT OF RADIOLOGY, BALTIMORE, MD 21201-1544
(410) 328-3477
Taxonomy
Speciality
Code
Description
License number
State
207UN0902X
Nuclear Imaging & Therapy Physician
Primary
D0076990
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
019238416
—
DC
05
—
422608900
—
MD
Enumeration date
11/10/2009
Last updated
04/24/2019
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