Healthcare Provider Details
I. General information
NPI: 1982705331
Provider Name (Legal Business Name): FRANK M LIU M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 09/26/2006
Last Update Date: 09/28/2016
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
WASHINGTON VA MEDICAL CENTER 50 IRVING STREET, NW
WASHINGTON DC
20422
US
IV. Provider business mailing address
10320 YEARLING DR.
ROCKVILLE MD
20850
US
V. Phone/Fax
- Phone: 202-745-8000
- Fax: 202-745-2233
- Phone: 202-745-8000
- Fax: 202-745-2233
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207U00000X |
| Taxonomy | Nuclear Medicine Physician |
| License Number | 205736 |
| License Number State | MA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 207U00000X |
| Taxonomy | Nuclear Medicine Physician |
| License Number | A79123 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: