Individual
STEPHEN KAO LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1552 COFFEE RD, MODESTO, CA 95355-3107
(209) 524-2333
(209) 524-2142
Mailing address
1552 COFFEE RD, MODESTO, CA 95355-3107
(209) 524-2333
(209) 524-2142
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
A50939
CA
2085R0204X
Vascular & Interventional Radiology Physician
Primary
A50939
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ06494Z
MEDICARE GROUP
CA
Enumeration date
06/13/2006
Last updated
02/27/2008
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