Healthcare Provider Details

I. General information

NPI: 1912439621
Provider Name (Legal Business Name): ZHUO LIU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/31/2017
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 ALTON LN
LITTLE ROCK AR
72211-2191
US

IV. Provider business mailing address

21 ALTON LN
LITTLE ROCK AR
72211-2191
US

V. Phone/Fax

Practice location:
  • Phone: 501-940-6422
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number2020010595
License Number StateMO
# 2
Primary TaxonomyY
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberE-12081
License Number StateAR
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberE-12081
License Number StateAR
# 4
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2020010595
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: