Zheng K Liu Md Professional Corporation | |
1210 S Valley View Blvd Ste 210 Las Vegas NV 89102-1857 | |
(702) 921-6823 | |
(702) 993-0022 |
Full Name | Zheng K Liu Md Professional Corporation |
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Speciality | Internal Medicine |
Location | 1210 S Valley View Blvd Ste 210, Las Vegas, Nevada |
Authorized Official Name and Position | Zheng Kun Liu (PRESIDENT) |
Authorized Official Contact | 7029216823 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Zheng K Liu Md Professional Corporation Po Box 35596 Las Vegas NV 89133-5596 Ph: (702) 993-0022 | Zheng K Liu Md Professional Corporation 1210 S Valley View Blvd Ste 210 Las Vegas NV 89102-1857 Ph: (702) 921-6823 |
NPI Number | 1598825895 |
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Provider Enumeration Date | 12/11/2006 |
Last Update Date | 06/22/2010 |
Medicare PECOS PAC ID | 6406954361 |
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Medicare Enrollment ID | O20070531000355 |
Identifier | Type | State | Issuer |
---|---|---|---|
1598825895 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 10712 (Nevada) | Primary |
Provider Name | Zheng Kun Liu |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1144280256 PECOS PAC ID: 7719977404 Enrollment ID: I20040514000612 |
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