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NPI Code Detail

MEDICARE: DR. ALISHA TUTEJA LIU M.D.

MEDICARE: DR. ALISHA TUTEJA LIU 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
1207Q00000XFamily Medicine PhysicianD0087791MD
2390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1114373107
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ALISHA TUTEJA LIU M.D.
Provider Business Mailing Address
First Line : 7811 MONTROSE RD STE 215
Second Line :
City : POTOMAC
State : MD
Zip : 20854-3353
Country : US
Telephone Number : 240-630-1206
Fax Number :
Provider Business Practice Location Address
First Line : 7811 MONTROSE RD STE 215
Second Line :
City : POTOMAC
State : MD
Zip : 20854-3353
Country : US
Telephone Number : 240-630-1206
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/09/2016
Last Update Date : 06/03/2026

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