Healthcare Provider Details

I. General information

NPI: 1447132170
Provider Name (Legal Business Name): ZIXI LIAO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/23/2025
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

55 FRUIT ST
BOSTON MA
02114-2621
US

IV. Provider business mailing address

14 PERKINS SQ APT 3
JAMAICA PLAIN MA
02130-1719
US

V. Phone/Fax

Practice location:
  • Phone: 617-726-2000
  • Fax: --
Mailing address:
  • Phone: 316-305-3078
  • Fax: --

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WX0200X
TaxonomyOncology Registered Nurse
License NumberRN2353423
License Number StateMA
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberRN2353423
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: