Provider Demographics
NPI:1881625168
Name:LIU, ANDREW CHING (DO, PHD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:CHING
Last Name:LIU
Suffix:
Gender:M
Credentials:DO, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20050 HARVARD AVE
Mailing Address - Street 2:SUITE 308
Mailing Address - City:WARRENSVILLE HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44122-6816
Mailing Address - Country:US
Mailing Address - Phone:216-862-0301
Mailing Address - Fax:216-862-0713
Practice Address - Street 1:20050 HARVARD AVE
Practice Address - Street 2:SUITE 308
Practice Address - City:WARRENSVILLE HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44122-6816
Practice Address - Country:US
Practice Address - Phone:216-862-0301
Practice Address - Fax:216-862-0713
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-05
Last Update Date:2014-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34-003076207RC0200X, 207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RC0200XAllopathic & Osteopathic PhysiciansInternal MedicineCritical Care Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0595780Medicaid
OH0595780Medicaid
OHA82159Medicare UPIN