DR. ELLEN ANITA LIU MD NPI 1790784965

NPI Information

  • NPI: 1790784965
  • Provider Name: DR. ELLEN ANITA LIU, MD
  • Classification: Pediatrics - 2080N0001X
  • Specialization: Neonatal-Perinatal Medicine
  • Entity Type: Individual
  • Address: 1200 E 3900 S
    SALT LAKE CITY, UT
    ZIP 84124
  • Phone: (801) 268-7111

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NPI Details

DR. Ellen Anita Liu, MD is a neonatal-perinatal medicine pediatrics in Salt Lake City, UT. The provider is a pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies. DR. Ellen Anita Liu, MD NPI is 1790784965. 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:

1200 E 3900 S
SALT LAKE CITY, UT
ZIP 84124-300
Phone: (801) 268-7111
Fax: (801) 296-1715

The enumeration date for this NPI number is 7/19/2005 and was last updated on 11/2/2011.

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
12080N0001XPediatricsNeonatal-Perinatal Medicine319324-1205UTAHYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1117188700MEDICAIDWYOMING
2100507140MEDICAIDNEVADA
3F26709MEDICARE UPIN

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: 11/21/2025

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