Individual
DR. GINA A QUAID
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1541 FLORIDA AVE, SUITE 200, MODESTO, CA 95350-4429
(209) 577-3388
(209) 523-0764
Mailing address
1541 FLORIDA AVE, SUITE 200, MODESTO, CA 95350-4429
(209) 577-3388
(209) 523-0764
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
A61962
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB809Z
MEDICARE INDIVIDUAL PTAN
CA
01
—
CD069A
MEDICARE GROUP PTAN
CA
05
—
T84263
—
SC
Enumeration date
12/19/2005
Last updated
03/29/2011
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