Provider Demographics
NPI:1508887829
Name:LIU, BEI FANG (MD, PHD)
Entity Type:Individual
Prefix:DR
First Name:BEI
Middle Name:FANG
Last Name:LIU
Suffix:
Gender:F
Credentials:MD, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5400 MACKINAW RD
Mailing Address - Street 2:SUITE 4200
Mailing Address - City:SAGINAW
Mailing Address - State:MI
Mailing Address - Zip Code:48604-9515
Mailing Address - Country:US
Mailing Address - Phone:989-791-2330
Mailing Address - Fax:989-791-2329
Practice Address - Street 1:5400 MACKINAW RD
Practice Address - Street 2:SUITE 4200
Practice Address - City:SAGINAW
Practice Address - State:MI
Practice Address - Zip Code:48604-9515
Practice Address - Country:US
Practice Address - Phone:989-791-2330
Practice Address - Fax:989-791-2329
Is Sole Proprietor?:No
Enumeration Date:2006-07-21
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301091752207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX183108305Medicaid
TX183108302Medicaid
TX183108304Medicaid
TX8W0437OtherBCTX
TX183108303Medicaid
MI5852710001Medicare NSC
TX8J1513Medicare PIN
MI0N31240Medicare PIN
TXP00347791Medicare PIN
TX8J8950Medicare PIN
TX8W0437OtherBCTX