Provider Demographics
NPI:1831293869
Name:LIANG, TIRU (CMD)
Entity Type:Individual
Prefix:MS
First Name:TIRU
Middle Name:
Last Name:LIANG
Suffix:
Gender:F
Credentials:CMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12598 CLARKSVILLE PIKE
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21029-1534
Mailing Address - Country:US
Mailing Address - Phone:301-854-2902
Mailing Address - Fax:208-730-0764
Practice Address - Street 1:12598 CLARKSVILLE PIKE
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-1534
Practice Address - Country:US
Practice Address - Phone:301-854-2902
Practice Address - Fax:208-730-0764
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-11
Last Update Date:2011-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDU01134171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist