Healthcare Provider Details

I. General information

NPI: 1386559680
Provider Name (Legal Business Name): LIANG LIU
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2026
Last Update Date: 08/19/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 MONTGOMERY VILLAGE AVE STE 322
GAITHERSBURG MD
20879-3569
US

IV. Provider business mailing address

6 MONTGOMERY VILLAGE AVE STE 322
GAITHERSBURG MD
20879-3569
US

V. Phone/Fax

Practice location:
  • Phone: 301-869-9802
  • Fax:
Mailing address:
  • Phone: 301-869-9802
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU03294
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: