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NPI Code Detail

MEDICARE: KEITH LIANG, MD

MEDICARE: KEITH LIANG, 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
1207W00000XOphthalmology PhysicianG69355CA

Other Identifiers

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

General Provider Information

NPI Number : 1710174099
Entity Type Code : Organization
Provider Name (Legal Business Name) : KEITH LIANG, MD
Provider Business Mailing Address
First Line : 3160 J ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-4403
Country : US
Telephone Number : 916-446-2020
Fax Number : 916-446-3128
Provider Business Practice Location Address
First Line : 3160 J ST
Second Line :
City : SACRAMENTO
State : CA
Zip : 95816-4403
Country : US
Telephone Number : 916-446-2020
Fax Number : 916-446-3128
Authorized Official
Title or Position : OWNER
Name : DR. KEITH LIANG
Credential : M.D.
Telephone Number : 916-446-2020
Provider Enumeration Date : 10/01/2007
Last Update Date : 10/01/2007

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Directions to “KEITH LIANG, MD ” Practice Location

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