Provider Demographics
NPI:1528244035
Name:LI, JINLEI (MD)
Entity type:Individual
Prefix:MS
First Name:JINLEI
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:94 ROBERT TREAT DR
Mailing Address - Street 2:APT. B
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-8341
Mailing Address - Country:US
Mailing Address - Phone:917-601-6828
Mailing Address - Fax:
Practice Address - Street 1:94 ROBERT TREAT DR
Practice Address - Street 2:APT. B
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-8341
Practice Address - Country:US
Practice Address - Phone:917-601-6828
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-15
Last Update Date:2011-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
390200000X
CT49954207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program