Provider Demographics
NPI:1982066379
Name:LIAO, CAIYUN (MD, MPH)
Entity Type:Individual
Prefix:
First Name:CAIYUN
Middle Name:
Last Name:LIAO
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2139 GEORGIA AVE NW
Mailing Address - Street 2:4414 BENNING ROAD NE
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20001-3035
Mailing Address - Country:US
Mailing Address - Phone:202-865-7877
Mailing Address - Fax:
Practice Address - Street 1:2041 GEORGIA AVE NW RM 2055
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20060-0002
Practice Address - Country:US
Practice Address - Phone:202-865-7671
Practice Address - Fax:202-865-4174
Is Sole Proprietor?:No
Enumeration Date:2016-03-24
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD048153207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology