Healthcare Provider Details

I. General information

NPI: 1316474067
Provider Name (Legal Business Name): CHI AN LIU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/12/2017
Last Update Date: 08/23/2025
Certification Date: 08/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3800 RESERVOIR RD NW
WASHINGTON DC
20007-2113
US

IV. Provider business mailing address

5017 OLD CLINIC BUILDING CB# 7550
CHAPEL HILL NC
27599-7550
US

V. Phone/Fax

Practice location:
  • Phone: 202-444-0691
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2080P0203X
TaxonomyPediatric Critical Care Medicine Physician
License NumberMD600001810
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207RH0002X
TaxonomyHospice and Palliative Medicine (Internal Medicine) Physician
License NumberMD600001810
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: