Individual
DR. REAGAN WEI QUAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44055 RIVERSIDE PKWY STE 226, LEESBURG, VA 20176-5177
(703) 970-2670
(703) 970-0240
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101102774
VA
2086S0129X
Vascular Surgery Physician
Primary
0101102774
VA
2086S0129X
Vascular Surgery Physician
MD448558
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102832761
—
PA
01
—
2897463
HIGHMARK BLUE SHIELD
PA
01
—
30158392
AMERIHEALTH CARITAS - WMG
PA
01
—
420534
UPMC
PA
05
—
67564400
—
MD
Enumeration date
03/15/2007
Last updated
08/24/2021
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