Provider Demographics
NPI:1841824059
Name:LIU, XIAO YANG (MD-PHD)
Entity type:Individual
Prefix:DR
First Name:XIAO YANG
Middle Name:
Last Name:LIU
Suffix:
Gender:F
Credentials:MD-PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1575 TREMONT STREET
Mailing Address - Street 2:APT 811
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02120
Mailing Address - Country:US
Mailing Address - Phone:617-792-4266
Mailing Address - Fax:
Practice Address - Street 1:263 MCCAUL STREET, 4TH FLOOR
Practice Address - Street 2:DEPARTMENT OF MEDICAL IMAGING
Practice Address - City:TORONTO
Practice Address - State:ONTARIO
Practice Address - Zip Code:MST 1W7
Practice Address - Country:CA
Practice Address - Phone:647-822-8487
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-26
Last Update Date:2021-07-15
Deactivation Date:2020-12-08
Deactivation Code:
Reactivation Date:2021-07-15
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program