Annie S Liau, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

46460 Issued in MA

Practice address

77 Massachusetts Ave
Mit E23 319
Cambridge, MA 02139

Phone

(617) 253-1315

Fax

(617) 258-0454

NPI assigned

Nov 10, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Dr. Annie Srethabhakti-Liau Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mt Auburn Prof Services

  • Sleep Disorder Diagnostic Clinic/Center
  • Cambridge, MA
  • NPI 1326202797
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297209600000",
    "number": "1366423717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CARLETON ST",
            "address_2": "E23-315",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "021421323",
            "telephone_number": "617-253-1315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 MASSACHUSETTS AVE",
            "address_2": "MIT E23 319",
            "city": "CAMBRIDGE",
            "state": "MA",
            "postal_code": "02139",
            "telephone_number": "617-253-1315",
            "fax_number": "617-258-0454"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIAU",
        "first_name": "ANNIE",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-10",
        "last_updated": "2011-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MA",
            "license": "46460",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6189946",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNIE",
            "last_name": "SRETHABHAKTI-LIAU",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kevin X Li, PT, DPT
• Tang Li
• William W. Li, M.D.
• Yankuan Li
• Kathleen McNamara Liakos, LICSW
• Ilana Licht, PH.D.
• Derek Lichter, FNP-BC
• Carol Ann Licitra, LMHC
• Jason Glen Lieberthal, M.D.
• Adam Liebling, L AC

• Obstetrics & Gynecology Physician in Cambridge, MA
• Providers in Cambridge, MA by specialty
• Obstetrics & Gynecology Physician in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.