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NPI Code Detail

MEDICARE: DR. KEITH LIANG M.D.

MEDICARE:  DR. KEITH  LIANG  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207W00000XOphthalmology PhysicianG69355CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043304280
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KEITH LIANG M.D.
Provider Business Mailing Address
First Line : 3160 J ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-4403
Country : US
Telephone Number : 916-446-2020
Fax Number :
Provider Business Practice Location Address
First Line : 3160 J ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-4403
Country : US
Telephone Number : 916-446-2020
Fax Number : 916-446-3128
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/03/2006
Last Update Date : 01/27/2010

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Directions to “ DR. KEITH LIANG M.D.” Practice Location

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