NPI 1053828020

Ross Shane Liao, MD

Practitioner Urology Physician Leesburg, VA

Practice location

Address: 19415 Deerfield Ave STE 112, Leesburg, VA 20176-8470
Phone: (817) 715-8342

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X Licence 0101289402 (VA)

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Registry record

NPI: 1053828020
Entity type: Individual
Sex (as registered): Male
NPI issued: 29 Dec 2017
Record last updated: 17 Jun 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.