| Victor Liu, MD | |
|
777 Hospital Way, Pocatello, ID 83201-5175 | |
| (208) 239-2481 | |
| Not Available |
| Full Name | Victor Liu |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine |
| Location | 777 Hospital Way, Pocatello, Idaho |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639708027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M-17287 (Idaho) | Primary |
| Entity Name | Pocatello Health Services Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1689802852 PECOS PAC ID: 6608927637 Enrollment ID: O20090701000646 |
| Entity Name | Sound Physicians Of Idaho |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730407461 PECOS PAC ID: 4688705346 Enrollment ID: O20100624000921 |
| Mailing Address | Practice Location Address |
|---|---|
| Victor Liu, MD 777 Hospital Way, Pocatello, ID 83201-5175 Ph: () - | Victor Liu, MD 777 Hospital Way, Pocatello, ID 83201-5175 Ph: (208) 239-2481 |
Shawn Allman, D.O. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1417 | |
Jacob Delarosa, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 651 Memorial Dr, Pocatello, ID 83201 Phone: 208-239-1000 | |
Dr. Don E Mcinturff, M.D. Internal Medicine Medicare: Medicare Enrolled Practice Location: 1151 Hospital Way, Building F, Pocatello, ID 83201 Phone: 208-232-1443 Fax: 208-239-3434 | |
Dr. Jarrah Alfadhli, MD Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 | |
Gwendoline Fonebi, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 777 Hospital Way, Pocatello, ID 83201 Phone: 208-239-1720 Fax: 208-239-1726 | |
Aditya Singh, Internal Medicine Medicare: Medicare Enrolled Practice Location: 777 Hospital Way Ste 101, Pocatello, ID 83201 Phone: 208-239-3899 | |
Sherwin D'souza, M.D. Internal Medicine Medicare: Accepting Medicare Assignments Practice Location: 2302 E. Terry Street, Pocatello, ID 83201 Phone: 208-235-5910 Fax: 208-235-5920 |