Provider Demographics
NPI:1356684211
Name:LIU, ANDREW BAOFENG (DO)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:BAOFENG
Last Name:LIU
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Gender:M
Credentials:DO
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Mailing Address - Street 1:401 W 2ND ST
Mailing Address - Street 2:SUITE 235D
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89503-5345
Mailing Address - Country:US
Mailing Address - Phone:775-682-8175
Mailing Address - Fax:775-327-2006
Practice Address - Street 1:1155 MILL ST
Practice Address - Street 2:W11
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89502-1576
Practice Address - Country:US
Practice Address - Phone:775-327-5174
Practice Address - Fax:775-327-5178
Is Sole Proprietor?:No
Enumeration Date:2013-03-29
Last Update Date:2021-12-16
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Provider Licenses
StateLicense IDTaxonomies
NVDO2102207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine