| Minghsun Liu, Md Pc | |
|
3800 N Central Ave Ste 460 Phoenix AZ 85012-1995 | |
| (954) 923-7440 | |
| (954) 923-1299 |
| Full Name | Minghsun Liu, Md Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3800 N Central Ave Ste 460, Phoenix, Arizona |
| Authorized Official Name and Position | Minghsun Liu (MEDICAL DIRECTOR) |
| Authorized Official Contact | 9549237440 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Minghsun Liu, Md Pc 200 S Park Rd Ste 200 Hollywood FL 33021-8541 Ph: (954) 923-7440 | Minghsun Liu, Md Pc 3800 N Central Ave Ste 460 Phoenix AZ 85012-1995 Ph: (954) 923-7440 |
| NPI Number | 1316454945 |
|---|---|
| Provider Enumeration Date | 01/04/2018 |
| Last Update Date | 12/17/2024 |
| Medicare PECOS PAC ID | 2365703360 |
|---|---|
| Medicare Enrollment ID | O20180308002119 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316454945 | NPI | - | NPPES |
| 206647 | Medicaid | AZ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RI0200X | Internal Medicine - Infectious Disease | (* (Not Available)) | Primary |
| Provider Name | Tracey C Hedberg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376790360 PECOS PAC ID: 6406924612 Enrollment ID: I20081001000181 |
| Provider Name | Tanya N Turner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033468202 PECOS PAC ID: 6800041013 Enrollment ID: I20130219000144 |
| Provider Name | Kristi Ford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316458508 PECOS PAC ID: 9133485238 Enrollment ID: I20171106002159 |
| Provider Name | Jeffrey Lee Galitz |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1861485112 PECOS PAC ID: 2567358484 Enrollment ID: I20180308002353 |
| Provider Name | Hillary Dawn Tash |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629588348 PECOS PAC ID: 2365704400 Enrollment ID: I20180329000988 |
| Provider Name | Natalie Kahle |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720560501 PECOS PAC ID: 1254671381 Enrollment ID: I20190327001001 |
| Provider Name | Genevieve Ijeoma Onyirimba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1407323710 PECOS PAC ID: 4082949524 Enrollment ID: I20190705000712 |
| Provider Name | Maryann Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205394947 PECOS PAC ID: 5991032856 Enrollment ID: I20190815000292 |
| Provider Name | Minghsun Liu |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518096270 PECOS PAC ID: 3577626803 Enrollment ID: I20200421000866 |
| Provider Name | Leena R Tarin |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194289280 PECOS PAC ID: 3577994383 Enrollment ID: I20200512000655 |
| Provider Name | Anh Vuong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1295345163 PECOS PAC ID: 4688080849 Enrollment ID: I20210312001278 |
| Provider Name | Gloria Nyakerario Obaigwa |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386223329 PECOS PAC ID: 0345658993 Enrollment ID: I20210420000671 |
| Provider Name | Lisa Carol Stewart |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548834476 PECOS PAC ID: 4082002571 Enrollment ID: I20250213003512 |
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