JUAN LIU NPI 1396100095

NPI Information

  • NPI: 1396100095
  • Provider Name: JUAN LIU
  • Classification: Physician Assistant - 363AM0700X
  • Specialization: Medical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3820 BONNYBRIDGE PL
    ELLICOTT CITY, MD
    ZIP 21043
  • Phone: (443) 854-4748

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NPI Details

Juan Liu is a medical physician assistant in Ellicott City, MD with 10 years of experience. Juan Liu NPI is 1396100095. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3820 BONNYBRIDGE PL
ELLICOTT CITY, MD
ZIP 21043-133
Phone: (443) 854-4748

The NPI 1396100095 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 12/22/2015 and was last updated on 11/13/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. 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
1363AS0400XPhysician AssistantSurgicalC0006000MARYLANDNo
2363AM0700XPhysician AssistantMedicalC0006000MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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