Individual
XIAOGANG LIAO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 696-7081
(808) 696-1577
Mailing address
86-260 FARRINGTON HWY, WAIANAE, HI 96792-3128
(808) 696-7081
(808) 696-1577
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
13740
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A0264000
HMSA BILLING NUMBER
HI
05
—
593279-02
—
HI
Enumeration date
10/09/2006
Last updated
04/21/2008
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