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Individual
DR. SHIXIONG LIAO
Active
Individual
DR. SHIXIONG LIAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
036.172795
IL
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
24005
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036.172795
ILLINOIS MEDICAL LICENSE #
IL
01
—
2012-02070
MEDICAL LICENSE
NC
01
—
24005
SC MEDICAL LICENSE#
SC
01
—
70136
MEDICAL LICENSE
GA
05
—
T80141
—
SC
Enumeration date
04/12/2006
Last updated
04/22/2025
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