Provider Demographics
NPI:1083906796
Name:LIU, JIM XIN (MD)
Entity type:Individual
Prefix:
First Name:JIM
Middle Name:XIN
Last Name:LIU
Suffix:
Gender:
Credentials:MD
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Mailing Address - Street 1:700 ACKERMAN RD STE 2120
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43202-1559
Mailing Address - Country:US
Mailing Address - Phone:937-578-2020
Mailing Address - Fax:937-578-2019
Practice Address - Street 1:500 LONDON AVE STE O
Practice Address - Street 2:
Practice Address - City:MARYSVILLE
Practice Address - State:OH
Practice Address - Zip Code:43040-3570
Practice Address - Country:US
Practice Address - Phone:937-578-2020
Practice Address - Fax:937-278-2019
Is Sole Proprietor?:No
Enumeration Date:2011-05-12
Last Update Date:2025-05-05
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
OH35122533207RC0000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease