Healthcare Provider Details

I. General information

NPI: 1215957899
Provider Name (Legal Business Name): WEI LIU M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/19/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8303 ARLINGTON BLVD SUITE 203
FAIRFAX VA
22031-2903
US

IV. Provider business mailing address

8303 ARLINGTON BLVD SUITE 203
FAIRFAX VA
22031-2903
US

V. Phone/Fax

Practice location:
  • Phone: 703-208-1998
  • Fax: 703-208-1950
Mailing address:
  • Phone: 703-208-1998
  • Fax: 703-208-1950

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number0101232333
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: