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NPI Code Detail

MEDICARE: XU-JING LIU MD

MEDICARE: XU-JING LIU 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
1207R00000XInternal Medicine PhysicianMD419032PA
2208M00000XHospitalist PhysicianMD419032PA
3208M00000XHospitalist Physician01074366AIN
4207R00000XInternal Medicine Physician01074366AIN

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 : 1821098328
Entity Type Code : Individual
Provider Name (Legal Business Name) : XU-JING LIU MD
Provider Business Mailing Address
First Line : 250 W 96TH ST # 520
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1316
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8333 NAAB RD STE 400
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46260-1992
Country : US
Telephone Number : 317-338-6666
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/26/2005
Last Update Date : 03/25/2019

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Directions to “ XU-JING LIU MD” Practice Location

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