Individual
QIN FANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1051 WELLNESS PL STE 140, HENDERSON, NV 89011-2338
(702) 289-4037
(725) 205-3833
Mailing address
2545 S BRUCE ST STE 200, LAS VEGAS, NV 89169-1778
(702) 732-2438
(702) 737-5043
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
14962
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1619112455
—
NV
05
—
862122
—
AZ
Enumeration date
12/08/2008
Last updated
07/24/2024
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