Provider Demographics
NPI:1508902479
Name:LIU, YICHING ANDREW (MD)
Entity Type:Individual
Prefix:MR
First Name:YICHING
Middle Name:ANDREW
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:MR
Other - First Name:ANDREW
Other - Middle Name:YICHING
Other - Last Name:LIU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:8415 RITA ELENA
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78250-6533
Mailing Address - Country:US
Mailing Address - Phone:949-294-1093
Mailing Address - Fax:
Practice Address - Street 1:111 DALLAS ST
Practice Address - Street 2:MEDFIRST HOSPITALISTS
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78205-1201
Practice Address - Country:US
Practice Address - Phone:210-297-7011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-29
Last Update Date:2010-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA80531207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA107678Medicare UPIN