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NPI Code Detail

MEDICARE: DR. LEI LIU MD

MEDICARE: DR. LEI LIU 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
1207R00000XInternal Medicine Physician4301074958MI

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 : 1851378616
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LEI LIU MD
Provider Business Mailing Address
First Line : PO BOX 8035
Second Line :
City : WICHITA
State : KS
Zip : 67208-0035
Country : US
Telephone Number : 316-689-9940
Fax Number :
Provider Business Practice Location Address
First Line : 3311 E MURDOCK ST
Second Line :
City : WICHITA
State : KS
Zip : 67208-3054
Country : US
Telephone Number : 316-689-9940
Fax Number : 316-689-9889
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2005
Last Update Date : 01/20/2015

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