Individual
DR. GRACE LIU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
A106256
CA
207L00000X
Anesthesiology Physician
Primary
MD15992
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
FG929Y
MEDICARE PTAN
HI
Enumeration date
06/21/2007
Last updated
10/17/2011
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