Provider Demographics
NPI:1760973937
Name:LIU, CHE CARRIE (MD, MPH)
Entity Type:Individual
Prefix:MS
First Name:CHE
Middle Name:CARRIE
Last Name:LIU
Suffix:
Gender:F
Credentials:MD, MPH
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 245074
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85724-5074
Mailing Address - Country:US
Mailing Address - Phone:520-621-9041
Mailing Address - Fax:520-626-6995
Practice Address - Street 1:3838 N CAMPBELL AVE BLDG 2
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85719-1454
Practice Address - Country:US
Practice Address - Phone:520-694-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-23
Last Update Date:2022-02-23
Deactivation Date:2019-03-14
Deactivation Code:
Reactivation Date:2019-04-01
Provider Licenses
StateLicense IDTaxonomies
AZ63425207YP0228X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YP0228XAllopathic & Osteopathic PhysiciansOtolaryngologyPediatric Otolaryngology