Provider Demographics
NPI:1912017286
Name:LIU, MING (MD)
Entity Type:Individual
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First Name:MING
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:2485 HOSPITAL DR
Mailing Address - Street 2:SUITE 240
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-4101
Mailing Address - Country:US
Mailing Address - Phone:650-962-4555
Mailing Address - Fax:650-962-4550
Practice Address - Street 1:2485 HOSPITAL DR
Practice Address - Street 2:SUITE 240
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-4101
Practice Address - Country:US
Practice Address - Phone:650-962-4555
Practice Address - Fax:650-962-4550
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-08-09
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Provider Licenses
StateLicense IDTaxonomies
CAA056341208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAG21697Medicare UPIN