MEDICARE: LIUYI CHEN MD

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
1	207Q00000X	Family Medicine Physician	41461	OK

General Provider Information

NPI Number	:	1245859578
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LIUYI CHEN MD

Provider Business Mailing Address
First Line	:	110 W 7TH ST STE 2520
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74119-1104
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1551 N 9TH ST
Second Line	:
City	:	BROKEN ARROW
State	:	OK
Zip	:	74012-8898
Country	:	US
Telephone Number	:	918-355-7900
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/16/2020
Last Update Date	:	07/01/2026

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