Individual
YILING PETER LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1925 GLENN MITCHELL DR STE 100, VIRGINIA BEACH, VA 23456-0170
(757) 689-8430
(757) 689-8435
Mailing address
PO BOX 7068, PORTSMOUTH, VA 23707-0068
(757) 686-3508
(757) 686-0541
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101265782
VA
207R00000X
Internal Medicine Physician
34534
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110198609
RR MEDICARE PIN#
GA
01
—
37903705
MEDICAID LAB GROUP#
KY
01
—
4000501
MEDICARE LAB GROUP#
KY
05
—
64345341
—
KY
01
—
CB5773
RR MEDICARE GROUP#
GA
Enumeration date
07/14/2006
Last updated
12/31/2018
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