Basic Information
Provider Information
NPI: 1013954114
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: QI
FirstName: SHERI
MiddleName: X
NamePrefix:  
NameSuffix:  
Credential: M.D.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 8119 HOLLY MANOR WAY
Address2:  
City: FULTON
State: MD
PostalCode: 207599611
CountryCode: US
TelephoneNumber: 6178944654
FaxNumber:  
Practice Location
Address1: 700 2ND ST NE
Address2: KAISER PERMANENTE
City: WASHINGTON
State: DC
PostalCode: 200028100
CountryCode: US
TelephoneNumber: 2023463000
FaxNumber:  
Other Information
ProviderEnumerationDate: 05/31/2006
LastUpdateDate: 03/29/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/29/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000XMD041742DCY Allopathic & Osteopathic PhysiciansInternal Medicine 
208M00000XMD041742DCN Allopathic & Osteopathic PhysiciansHospitalist 

No ID Information.


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