Provider Demographics
NPI:1902034689
Name:LIU, YAN-HUA KATY (MD)
Entity Type:Individual
Prefix:
First Name:YAN-HUA
Middle Name:KATY
Last Name:LIU
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 1:9759 MANCHESTER ROAD
Mailing Address - Street 2:
Mailing Address - City:ROCK HILL
Mailing Address - State:MO
Mailing Address - Zip Code:63119
Mailing Address - Country:US
Mailing Address - Phone:314-781-4922
Mailing Address - Fax:314-645-0158
Practice Address - Street 1:9759 MANCHESTER ROAD
Practice Address - Street 2:
Practice Address - City:ROCK HILL
Practice Address - State:MO
Practice Address - Zip Code:63119
Practice Address - Country:US
Practice Address - Phone:314-781-4922
Practice Address - Fax:314-645-0158
Is Sole Proprietor?:No
Enumeration Date:2009-07-01
Last Update Date:2016-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015004070207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine