Provider Demographics
NPI:1215115472
Name:LIU, ZHENXIANG (MD)
Entity type:Individual
Prefix:
First Name:ZHENXIANG
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 W THAMES ST
Mailing Address - Street 2:UNIT 23
Mailing Address - City:NORWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06360-7153
Mailing Address - Country:US
Mailing Address - Phone:203-271-7089
Mailing Address - Fax:
Practice Address - Street 1:527 WEST THAMES STREET
Practice Address - Street 2:UNIT 23
Practice Address - City:NORWICH
Practice Address - State:CT
Practice Address - Zip Code:06360
Practice Address - Country:US
Practice Address - Phone:203-271-7089
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-08
Last Update Date:2014-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT48768207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine