Healthcare Provider Details

I. General information

NPI: 1063532513
Provider Name (Legal Business Name): WEILIN LIU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1001 CONNECTICUT AVE NW SUITE 325
WASHINGTON DC
20036-5504
US

IV. Provider business mailing address

4136 SEARS HOUSE CT
ELLICOTT CITY MD
21043-5407
US

V. Phone/Fax

Practice location:
  • Phone: 202-431-9037
  • Fax:
Mailing address:
  • Phone: 410-418-8369
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC30025
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: