Healthcare Provider Details

I. General information

NPI: 1427685296
Provider Name (Legal Business Name): ZHE LIU DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2020
Last Update Date: 11/17/2023
Certification Date: 11/17/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6020 FAYETTEVILLE RD
DURHAM NC
27713-9754
US

IV. Provider business mailing address

6020 FAYETTEVILLE RD
DURHAM NC
27713-9754
US

V. Phone/Fax

Practice location:
  • Phone: 919-572-2000
  • Fax:
Mailing address:
  • Phone: 843-848-4640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number2022-03007
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: