Doctor Name: | DR. QING LU MCGAHA |
NPI Number: | 1184820292 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MD |
License Number: | ME98949 |
Business Practice Address: | 13036 N Dale Mabry Hwy Tampa, FL - 336182808 |
Business Phone Number: | 8139082272 |
Business Fax Number: | 8139082275 |
Mailing Address: | 3001 Eastland Blvd, Suite 6b CLEARWATER |
State: | FL |
Postal Code: | 337614104 |
Phone Number: | 8139082272 |
Fax Number: | |
NPI Enumeration Date: | 06/25/2007 |
NPI Last Update Date: | 07/21/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ME98949 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |