XINSHENG MICHAEL LIAO, MD PHD - NPI NUMBER 1619963543

Summary

Provider Name: XINSHENG MICHAEL LIAO, MD PHD

NPI Number: 1619963543

Clasification: Internal Medicine (207RH0003X)

Specialization: Hematology & Oncology

Organization: PARTNER ONCOLOGY INC

Address:
1519 3RD ST SE STE 260
PUYALLUP, WA
ZIP 98372

Phone Number: (253) 770-1700



Detailed Information

Xinsheng Michael Liao, MD PHD is a hematology & oncology internist in Puyallup, WA with 31 years of experience. The provider is an internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered. The assigned NPI number for this provider is 1619963543 and is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business address is:

1519 3RD ST SE STE 260
PUYALLUP, WA
ZIP 98372-716
Phone: (253) 770-1700
Fax: (253) 770-1702

The enumeration date for this NPI number is 9/26/2005 and was last updated on 8/5/2008.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 207RH0003X Internal Medicine Hematology & Oncology MD00036160 WA Yes

Other (Legacy) Identifiers

The following legacy identifiers are available for this provider:

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1 8800934 MEDICARE ID-TYPE UNSPECIFIED
2 8254450 MEDICAID WA
3 H15029 MEDICARE UPIN

NPI Record

No. Field Name Field Value
1 NPI 1619963543
2 Entity Type Code 1
3 Provider Last Name Legal Name LIAO
4 Provider First Name XINSHENG
5 Provider Middle Name MICHAEL
6 Provider Credential Text MD PHD
7 Provider First Line Business Practice Location Address 1519 3RD ST SE STE 260
8 Provider Business Practice Location Address City Name PUYALLUP
9 Provider Business Practice Location Address State Name WA
10 Provider Business Practice Location Address Postal Code 983723716
11 Provider Business Practice Location Address Country Code If outside U S US
12 Provider Business Practice Location Address Telephone Number 2537701700
13 Provider Business Practice Location Address Fax Number 2537701702
14 Provider Enumeration Date 9/26/2005
15 Last Update Date 8/5/2008
16 Provider Gender Code M
17 Healthcare Provider Taxonomy Code 1 207RH0003X
18 Provider License Number 1 MD00036160
19 Provider License Number State Code 1 WA
20 Healthcare Provider Primary Taxonomy Switch 1 Y
21 Other Provider Identifier 1 8800934
22 Other Provider Identifier Type Code 1 04
23 Other Provider Identifier 2 8254450
24 Other Provider Identifier Type Code 2 05
25 Other Provider Identifier State 2 WA
26 Other Provider Identifier 3 H15029
27 Other Provider Identifier Type Code 3 02
28 Is Sole Proprietor Y

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This page was last updated on: 8/12/2014
All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.