Healthcare Provider Details
I. General information
NPI: 1528137254
Provider Name (Legal Business Name): YU LIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 11/07/2006
Last Update Date: 06/18/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2703 JONES FRANKLIN RD STE 101
CARY NC
27518-7172
US
IV. Provider business mailing address
2703 JONES FRANKLIN RD STE 101
CARY NC
27518-7172
US
V. Phone/Fax
- Phone: 919-854-2006
- Fax: 919-481-3637
- Phone: 919-854-2006
- Fax: 919-481-3637
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 174400000X |
| Taxonomy | Specialist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207R00000X |
| Taxonomy | Internal Medicine Physician |
| License Number | 2006-01693 |
| License Number State | NC |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: