Provider Demographics
NPI:1457357758
Name:LIU, YINONG (MD)
Entity Type:Individual
Prefix:DR
First Name:YINONG
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1735 27TH ST STE B06
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:OH
Mailing Address - Zip Code:45662-2681
Mailing Address - Country:US
Mailing Address - Phone:740-356-8034
Mailing Address - Fax:740-353-7900
Practice Address - Street 1:1121 KINNEYS LN
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:OH
Practice Address - Zip Code:45662-2806
Practice Address - Country:US
Practice Address - Phone:740-356-7490
Practice Address - Fax:740-356-7488
Is Sole Proprietor?:No
Enumeration Date:2005-06-22
Last Update Date:2020-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY37433207RH0003X
OH35-096475207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY820000479OtherRAILROAD MEDICARE
KY6112477847COtherHUMANA
KY64061674Medicaid
KY611277847OtherUNITED HEALTH CARE
KY611277847OtherCHA
KY000000254580OtherANTHEM BC/BS
KY611277847OtherCIGNA
KYH71258OtherBLUEGRASS FAMILY HEALTH
KY1168786OtherPASSPORT
KY7050405OtherAETNA
KY0577906Medicare PIN
KY0985903Medicare PIN
KY0510208Medicare PIN
KY0510108Medicare PIN
KY000000254580OtherANTHEM BC/BS
KY611277847OtherCHA
KY611277847OtherUNITED HEALTH CARE
KYH71258OtherBLUEGRASS FAMILY HEALTH