Provider Demographics
NPI:1699929844
Name:LI, LINNA (MD)
Entity type:Individual
Prefix:DR
First Name:LINNA
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:130 S BRYN MAWR AVE
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3121
Mailing Address - Country:US
Mailing Address - Phone:484-337-8510
Mailing Address - Fax:484-337-8695
Practice Address - Street 1:333 COTTMAN AVE
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19111-2434
Practice Address - Country:US
Practice Address - Phone:215-728-2581
Practice Address - Fax:215-214-4038
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2011-07-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD4357182085R0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0001XAllopathic & Osteopathic PhysiciansRadiologyRadiation Oncology