# JEFFREY TA LIU

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023051117
- **Gender:** Man
- **Credential:** MD - LLC

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207V00000X | Obstetrics & Gynecology Physician | 7490 | NV | Yes |

## Other

- **Enumeration date:** 06/14/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2019887 | — | NV |
| 01 | — | 80-0551016 | TAX IDENTIFICATION | NV |
| 01 | — | CS7890 | NEVADA PHARMACY | NV |