Provider Demographics
NPI:1700835162
Name:LIU, ANDREW T (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:T
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:1804 EMBARCADERO RD
Mailing Address - Street 2:STE 100
Mailing Address - City:PALO ALTO
Mailing Address - State:CA
Mailing Address - Zip Code:94303-3341
Mailing Address - Country:US
Mailing Address - Phone:650-366-5594
Mailing Address - Fax:650-366-6352
Practice Address - Street 1:2900 WHIPPLE AVE
Practice Address - Street 2:#135
Practice Address - City:REDWOOD CITY
Practice Address - State:CA
Practice Address - Zip Code:94062-2843
Practice Address - Country:US
Practice Address - Phone:650-366-5594
Practice Address - Fax:650-366-6352
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2016-06-21
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Provider Licenses
StateLicense IDTaxonomies
CAG633320174400000X
CAG63332207V00000X
CA125591207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No174400000XOther Service ProvidersSpecialist
No207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAE73347Medicare UPIN
CAE73347Medicare UPIN