Healthcare Provider Details

I. General information

NPI: 1477972776
Provider Name (Legal Business Name): ZIYANG LIU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2014
Last Update Date: 11/16/2022
Certification Date: 09/10/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13055 W MCDOWELL RD STE G112
AVONDALE AZ
85392-6459
US

IV. Provider business mailing address

PO BOX 6423
CHANDLER AZ
85246-6423
US

V. Phone/Fax

Practice location:
  • Phone: 623-312-3020
  • Fax: 623-487-6747
Mailing address:
  • Phone: 480-855-2224
  • Fax: 480-398-8080

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number61005
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: