Healthcare Provider Details

I. General information

NPI: 1730549882
Provider Name (Legal Business Name): JAMES LIU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/02/2016
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2435 W BELVEDERE AVE STE 42
BALTIMORE MD
21215-5224
US

IV. Provider business mailing address

230 E DERENNE AVE
SAVANNAH GA
31405-6736
US

V. Phone/Fax

Practice location:
  • Phone: 410-601-1122
  • Fax: 410-601-5835
Mailing address:
  • Phone: 912-790-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberD88935
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code208800000X
TaxonomyUrology Physician
License NumberMD495609
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: