Provider Demographics
NPI:1194974212
Name:LI, LI (MD)
Entity type:Individual
Prefix:
First Name:LI
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:CRC ROOM 1 1469 BLDG 10
Mailing Address - Street 2:10 CENTER DRIVE, MSC 1604
Mailing Address - City:BETHESDA
Mailing Address - State:MD
Mailing Address - Zip Code:20892-0001
Mailing Address - Country:US
Mailing Address - Phone:301-496-4733
Mailing Address - Fax:301-480-0669
Practice Address - Street 1:CRC ROOM 1 1469 BLDG 10
Practice Address - Street 2:10 CENTER DRIVE, MSC 1604
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20892-0001
Practice Address - Country:US
Practice Address - Phone:301-496-4733
Practice Address - Fax:301-480-0669
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-12
Last Update Date:2008-09-12
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Provider Licenses
StateLicense IDTaxonomies
MDD0056970208100000X, 2081N0008X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
No2081N0008XAllopathic & Osteopathic PhysiciansPhysical Medicine & RehabilitationNeuromuscular Medicine