Individual
JOHN S. LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
0101055649
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
007501781
—
VA
01
—
10191
SENTARA HEALTHCARE
VA
01
—
227941
ANTHEM BC BS
VA
Enumeration date
01/10/2006
Last updated
04/29/2025
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