Individual
DR. MARK K LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1721 UNIVERSITY BLVD W, WHEATON, MD 20902-3650
(301) 649-5151
(301) 649-7368
Mailing address
1721 UNIVERSITY BLVD W, WHEATON, MD 20902-3650
(301) 649-5151
(301) 649-7368
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
D0027865
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0075758
AETNA HMO
—
05
—
04960807
—
DC
01
—
110003971
RAILROAD MEDICARE
DC
05
—
139301400
—
MD
01
—
27865
ADVENTIST HEALTHCARE
—
01
—
3493546
CIGNA
—
01
—
37220001
CAREFIRST BCBS (NCA)
DC
01
—
4081271
AETNA PPO
—
01
—
413303
UNITED HEALTHCARE
—
01
—
494439
NCPPO
—
01
—
4958MK
CAREFIRST BCBS (MARYLAND)
MD
01
—
85347
ALLIANCE
—
Enumeration date
09/29/2005
Last updated
04/15/2008
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