Individual
DR. ALEXANDER H 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
G078743
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CD069A
MEDICARE GROUP PTAN
CA
01
—
CNC63Z
MEDICARE INDIVIDUAL PTAN
CA
Enumeration date
03/25/2007
Last updated
04/07/2011
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