MEDICARE: DA-WEI LIAO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RP1001X	Pulmonary Disease Physician	35132	AZ
2	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	35132	AZ
3	207R00000X	Internal Medicine Physician	35132	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053379263
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DA-WEI LIAO MD

Provider Business Mailing Address
First Line	:	5151 E BROADWAY RD STE 107
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-1346
Country	:	US
Telephone Number	:	480-290-7000
Fax Number	:	602-254-6840

Provider Business Practice Location Address
First Line	:	3811 E BELL RD STE 107
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85032-2158
Country	:	US
Telephone Number	:	602-340-1689
Fax Number	:	602-340-1853

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/04/2006
Last Update Date	:	10/07/2025

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Directions to “ DA-WEI LIAO MD” Practice Location

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