Provider Demographics
NPI:1548721889
Name:CHEN, ELLIOTT LIU (MD)
Entity type:Individual
Prefix:MR
First Name:ELLIOTT
Middle Name:LIU
Last Name:CHEN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1321 GERMAN SCHOOL RD APT 211
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4190
Mailing Address - Country:US
Mailing Address - Phone:317-603-0388
Mailing Address - Fax:
Practice Address - Street 1:1321 GERMAN SCHOOL RD APT 211
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4190
Practice Address - Country:US
Practice Address - Phone:317-603-0388
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-03-28
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN71604208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist