David M K I Liu, MD, PHD | |
2201 South Ave, South Lake Tahoe, CA 96150-7025 | |
(530) 543-5623 | |
(530) 541-5738 |
Full Name | David M K I Liu |
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Gender | Male |
Speciality | Pediatrics |
Location | 2201 South Ave, South Lake Tahoe, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1700975976 | NPI | - | NPPES |
Entity Name | Desert Medical Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114918612 PECOS PAC ID: 8123930427 Enrollment ID: O20031229000246 |
Entity Name | Gracelight Community Health |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1740835743 PECOS PAC ID: 3072619618 Enrollment ID: O20170425001131 |
Mailing Address | Practice Location Address |
---|---|
David M K I Liu, MD, PHD 1111 Emerald Bay Rd, South Lake Tahoe, CA 96150-6207 Ph: (530) 543-5659 | David M K I Liu, MD, PHD 2201 South Ave, South Lake Tahoe, CA 96150-7025 Ph: (530) 543-5623 |
Dr. Michael Phillip Doyle, MEDICAL DOCTOR Pediatrics Medicare: Not Enrolled in Medicare Practice Location: 2074 Lake Tahoe Blvd, Ste 9, South Lake Tahoe, CA 96150 Phone: 530-541-6100 Fax: 530-541-5945 | |
Audrey Jean Dasilva, Pediatrics Medicare: Medicare Enrolled Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5550 | |
Dr. Jennifer Ann Ehmann, MD Pediatrics Medicare: Medicare Enrolled Practice Location: 2201 South Ave, South Lake Tahoe, CA 96150 Phone: 530-543-5623 Fax: 530-541-5738 |