Provider Demographics
NPI:1801802806
Name:LIU, SAO CHENG (MD)
Entity type:Individual
Prefix:DR
First Name:SAO
Middle Name:CHENG
Last Name:LIU
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Gender:M
Credentials:MD
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Mailing Address - Street 1:11606 NICHOLAS ST
Mailing Address - Street 2:SUITE 200
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68154-4478
Mailing Address - Country:US
Mailing Address - Phone:402-493-3712
Mailing Address - Fax:402-493-8341
Practice Address - Street 1:11606 NICHOLAS ST
Practice Address - Street 2:SUITE 200
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68154-4478
Practice Address - Country:US
Practice Address - Phone:402-493-3712
Practice Address - Fax:402-493-8341
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
NE18684207W00000X
IA31334207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NE35478OtherBLUE CROSS & BLUE SHIELD
IA6149906OtherIOWA MEDICAID
NE0800223OtherUNITED HEALTHCARE
NE47084218400Medicaid
NE6641OtherMIDLANDS CHOICE
IAI3130OtherIOWA MEDICARE
IA4149906OtherWELLMARK
NE0800223OtherUNITED HEALTHCARE
NE6641OtherMIDLANDS CHOICE