Provider Demographics
NPI:1427532217
Name:LIU, QINGWEI (PA-C)
Entity type:Individual
Prefix:
First Name:QINGWEI
Middle Name:
Last Name:LIU
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17900 N PORTER RD
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-4228
Mailing Address - Country:US
Mailing Address - Phone:520-233-2500
Mailing Address - Fax:520-233-2688
Practice Address - Street 1:1985 E CHANDLER BLVD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85225-5110
Practice Address - Country:US
Practice Address - Phone:602-755-0800
Practice Address - Fax:602-564-6246
Is Sole Proprietor?:No
Enumeration Date:2018-09-18
Last Update Date:2025-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7254363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant