Individual
QIN YAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908
(434) 924-2335
(434) 982-0796
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
0101266320
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000217367
UNISON
OH
01
—
000000526176
ANTHEM
OH
01
—
1017722010001
PA MEDICAID
PA
01
—
2307775
BCMH
OH
05
—
2307775
—
OH
01
—
233799
BUCKEYE
OH
01
—
364155
WELLCARE
OH
01
—
7555279
AETNA
OH
Enumeration date
10/13/2005
Last updated
08/02/2021
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