Healthcare Provider Details

I. General information

NPI: 1043553746
Provider Name (Legal Business Name): XINRAN LIU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/01/2013
Last Update Date: 02/24/2022
Certification Date: 02/24/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

505 PARNASSUS AVE
SAN FRANCISCO CA
94143
US

IV. Provider business mailing address

505 PARNASSUS AVE
SAN FRANCISCO CA
94143
US

V. Phone/Fax

Practice location:
  • Phone: 415-476-7931
  • Fax: 415-750-8156
Mailing address:
  • Phone: 415-476-7931
  • Fax: 415-750-8156

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberA158874
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code2083C0008X
TaxonomyClinical Informatics Physician
License Number31-17681
License Number StateCA
# 3
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberA158874
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: