Provider Demographics
NPI:1598737397
Name:LIU, SAI-LING (DO)
Entity Type:Individual
Prefix:DR
First Name:SAI-LING
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 966
Mailing Address - Street 2:NORTON SOUND HEALTH CORPORATION
Mailing Address - City:NOME
Mailing Address - State:AK
Mailing Address - Zip Code:99762-0966
Mailing Address - Country:US
Mailing Address - Phone:907-443-3311
Mailing Address - Fax:907-443-3139
Practice Address - Street 1:5TH AVENUE 306 WEST
Practice Address - Street 2:NORTON SOUND HEALTH CORPORATION
Practice Address - City:NOME
Practice Address - State:AK
Practice Address - Zip Code:99762-0966
Practice Address - Country:US
Practice Address - Phone:907-443-3311
Practice Address - Fax:907-443-3139
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2014-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK2608207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKMD2608Medicaid
F00264Medicare UPIN
N00508DMedicare ID - Type Unspecified