| Organization Name: | TIE QIAN MD PA |
| NPI Number: | 1073783569 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | TIE QIAN (PRESIDENT) |
| Mailing Address: | 8890 W Oakland Park Blvd Suite 302 Sunrise |
| State: | FL US |
| Postal Code: | 333517235 |
| Phone Number: | 9547464980 |
| Fax Number: | 9547464981 |
| NPI Enumeration Date: | 03/11/2008 |
| NPI Last Update Date: | 08/11/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |