Individual
YITIAN LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1440 E COUNTY LINE RD STE 3200, INDIANAPOLIS, IN 46227-0963
(317) 497-6920
(317) 497-6901
Mailing address
6626 E 75TH ST STE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
57157
TN
2086X0206X
Surgical Oncology Physician
Primary
01082733A
IN
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
300029889
—
IN
Enumeration date
03/27/2013
Last updated
11/27/2023
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