Individual
TSUNG HAN STAN LIU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
5495 S RAINBOW BLVD STE 101, LAS VEGAS, NV 89118-1872
(702) 477-0772
Mailing address
PO BOX 30077, DEPT 305, SALT LAKE CITY, UT 84130-0077
(877) 243-8416
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
7809
NV
2085R0204X
Vascular & Interventional Radiology Physician
Primary
7809
NV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
153079
WC
NV
01
—
153095
WC
NV
05
—
200290106
—
NV
01
—
NV7390
BCBS
NV
01
—
NV8666
BCBS
NV
Enumeration date
05/31/2006
Last updated
02/13/2026
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