Provider Demographics
| NPI: | 1629392493 |
|---|---|
| Name: | LIAO, NANCY NAI-HSIEN (MD) |
| Entity type: | Individual |
| Prefix: | |
| First Name: | NANCY |
| Middle Name: | NAI-HSIEN |
| Last Name: | LIAO |
| Suffix: | |
| Gender: | F |
| 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: | 700 CHILDREN'S DRIVE |
| Mailing Address - Street 2: | |
| Mailing Address - City: | COLUMBUS |
| Mailing Address - State: | OH |
| Mailing Address - Zip Code: | 43205-2664 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 614-722-4950 |
| Mailing Address - Fax: | |
| Practice Address - Street 1: | 700 CHILDREN'S DRIVE |
| Practice Address - Street 2: | |
| Practice Address - City: | COLUMBUS |
| Practice Address - State: | OH |
| Practice Address - Zip Code: | 43205-2664 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 614-722-4950 |
| Practice Address - Fax: | |
| Is Sole Proprietor?: | No |
| Enumeration Date: | 2010-03-22 |
| Last Update Date: | 2025-05-19 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Licenses
| State | License ID | Taxonomies |
|---|---|---|
| OH | 35098576 | 2080P0008X, 208M00000X |
| OH | 35.098576 | 208000000X |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | |
| No | 2080P0008X | Allopathic & Osteopathic Physicians | Pediatrics | Neurodevelopmental Disabilities |
| No | 208M00000X | Allopathic & Osteopathic Physicians | Hospitalist |
Provider Identifiers
| State | Identifier ID | ID Type | Issuer |
|---|---|---|---|
| OH | 0078706 | Medicaid |