MEDICARE: XINGFU LIANG 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	207LC0200X	Critical Care Medicine (Anesthesiology) Physician	A160637	CA
2	207LP2900X	Pain Medicine (Anesthesiology) Physician	A160637	CA
3	207L00000X	Anesthesiology Physician	A160637	CA

General Provider Information

NPI Number	:	1902225139
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	XINGFU LIANG MD

Provider Business Mailing Address
First Line	:	PO BOX 1547
Second Line	:
City	:	SEDALIA
State	:	MO
Zip	:	65302-1547
Country	:	US
Telephone Number	:	660-826-5960
Fax Number	:

Provider Business Practice Location Address
First Line	:	2365 QUIMBY RD STE 250
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95122-1337
Country	:	US
Telephone Number	:	650-502-4770
Fax Number	:

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

Provider Enumeration Date	:	04/15/2014
Last Update Date	:	06/11/2024

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Directions to “ XINGFU LIANG MD” Practice Location

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