Healthcare Provider Details

I. General information

NPI: 1255334686
Provider Name (Legal Business Name): LINDA LIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 04/01/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6430 ROCKLEDGE DR STE 300
BETHESDA MD
20817-1847
US

IV. Provider business mailing address

6001 MONTROSE RD STE 211
ROCKVILLE MD
20852-4872
US

V. Phone/Fax

Practice location:
  • Phone: 301-468-1451
  • Fax: 301-468-3580
Mailing address:
  • Phone: 301-468-1451
  • Fax: 301-468-3580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RE0101X
TaxonomyEndocrinology, Diabetes & Metabolism Physician
License NumberD0034925
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: