Basic Information
Provider Information
NPI: 1760518807
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: LIANG
FirstName: DANNY
MiddleName:  
NamePrefix: DR.
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 64584
Address2:  
City: BALTIMORE
State: MD
PostalCode: 212644584
CountryCode: US
TelephoneNumber: 4434625010
FaxNumber:  
Practice Location
Address1: 301 HOSPITAL DR
Address2: SUITE 803
City: GLEN BURNIE
State: MD
PostalCode: 210615803
CountryCode: US
TelephoneNumber: 4105538160
FaxNumber: 4105538159
Other Information
ProviderEnumerationDate: 02/25/2007
LastUpdateDate: 11/09/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207T00000X261037NYN Allopathic & Osteopathic PhysiciansNeurological Surgery 
207T00000XD77078MDY Allopathic & Osteopathic PhysiciansNeurological Surgery 

No ID Information.


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