Provider Demographics
NPI:1093874661
Name:LIU, PAUL C (MD)
Entity type:Individual
Prefix:
First Name:PAUL
Middle Name:C
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:5445 W SAHARA AVE
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89146-0308
Mailing Address - Country:US
Mailing Address - Phone:310-892-7588
Mailing Address - Fax:702-368-2049
Practice Address - Street 1:5445 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89146-0308
Practice Address - Country:US
Practice Address - Phone:310-892-7588
Practice Address - Fax:702-368-2049
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-08
Last Update Date:2024-05-15
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NV25234207X00000X
CAG76545204D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Single Specialty
No204D00000XAllopathic & Osteopathic PhysiciansNeuromusculoskeletal Medicine & OMM