Provider Demographics
NPI:1912174939
Name:HUANG, LIWEI E (MD)
Entity Type:Individual
Prefix:
First Name:LIWEI
Middle Name:E
Last Name:HUANG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4445 CORPORATION LN STE 100
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-3666
Mailing Address - Country:US
Mailing Address - Phone:757-623-0005
Mailing Address - Fax:757-548-1129
Practice Address - Street 1:300 MEDICAL PKWY
Practice Address - Street 2:SUITE 110
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-4985
Practice Address - Country:US
Practice Address - Phone:757-623-0005
Practice Address - Fax:757-410-7349
Is Sole Proprietor?:No
Enumeration Date:2008-05-08
Last Update Date:2022-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101253549207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP01632260Medicare PIN
VAVV9650BMedicare PIN
VAPAROtherAETNA
VAVV9650AMedicare PIN
VA1912174939OtherUNITED HEALTHCARE
VAPAROtherUSA MANAGED CARE
VA10110511OtherOPTIMA HEALTH
VAPAROtherCIGNA
VA490984OtherANTHEM BC/BS
NC5922882Medicaid
VA1912174939OtherCOVENTRY NETWORK
VAPAROtherVIRGINIA HEALTH NETWORK
VAPAROtherMULTIPLAN
VAPAROtherCORVEL
VA1912174939Medicaid