Provider Demographics
NPI:1306815352
Name:LIANG, DAVID YOUTHY (MD)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:YOUTHY
Last Name:LIANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4318 NORTHERN PIKE
Mailing Address - Street 2:SUITE 204A
Mailing Address - City:MONROEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15146
Mailing Address - Country:US
Mailing Address - Phone:412-856-4114
Mailing Address - Fax:412-856-4066
Practice Address - Street 1:4318 NORTHERN PIKE
Practice Address - Street 2:SUITE 204A
Practice Address - City:MONROEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15146
Practice Address - Country:US
Practice Address - Phone:412-856-4114
Practice Address - Fax:412-856-4066
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
PAMD034107L208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0006420680002Medicaid
PA0006420680002Medicaid
B37434Medicare UPIN