Provider Demographics
NPI:1497235014
Name:LIU, YAO ZHOU (MD)
Entity Type:Individual
Prefix:
First Name:YAO
Middle Name:ZHOU
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:593 EDDY ST - RHODE ISLAND HOSPITAL
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02903
Mailing Address - Country:US
Mailing Address - Phone:401-444-5180
Mailing Address - Fax:401-444-6681
Practice Address - Street 1:593 EDDY ST - RHODE ISLAND HOSPITAL
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02903
Practice Address - Country:US
Practice Address - Phone:401-444-5180
Practice Address - Fax:401-444-6681
Is Sole Proprietor?:No
Enumeration Date:2018-08-14
Last Update Date:2023-06-09
Deactivation Date:2019-05-23
Deactivation Code:
Reactivation Date:2019-06-19
Provider Licenses
StateLicense IDTaxonomies
RILP04586208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery