Provider Demographics
NPI:1366557704
Name:LIAU, DEREK W (MD)
Entity type:Individual
Prefix:
First Name:DEREK
Middle Name:W
Last Name:LIAU
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:1422 EL CAMINO REAL
Mailing Address - Street 2:
Mailing Address - City:MENLO PARK
Mailing Address - State:CA
Mailing Address - Zip Code:94025-4110
Mailing Address - Country:US
Mailing Address - Phone:650-903-9500
Mailing Address - Fax:650-903-9900
Practice Address - Street 1:1422 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:MENLO PARK
Practice Address - State:CA
Practice Address - Zip Code:94025-4110
Practice Address - Country:US
Practice Address - Phone:650-903-9500
Practice Address - Fax:650-903-9900
Is Sole Proprietor?:No
Enumeration Date:2006-08-19
Last Update Date:2014-05-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CAA108262207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology