Provider Demographics
NPI:1871306894
Name:MLIU SDATERS PLLC
Entity type:Organization
Organization Name:MLIU SDATERS PLLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MENG
Authorized Official - Middle Name:
Authorized Official - Last Name:LIU
Authorized Official - Suffix:
Authorized Official - Credentials:DPM
Authorized Official - Phone:757-525-2436
Mailing Address - Street 1:118 CORCORAN LN
Mailing Address - Street 2:
Mailing Address - City:SUFFOLK
Mailing Address - State:VA
Mailing Address - Zip Code:23434-8695
Mailing Address - Country:US
Mailing Address - Phone:415-786-8862
Mailing Address - Fax:757-866-5430
Practice Address - Street 1:13478 CARROLLTON BLVD STE O
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:VA
Practice Address - Zip Code:23314-3209
Practice Address - Country:US
Practice Address - Phone:757-525-2436
Practice Address - Fax:757-866-5430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-31
Last Update Date:2025-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle SurgeryGroup - Single Specialty