Individual
DR. LI LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1221 LEE STREET, CHARLOTTESVILLE, VA 22908-0001
(434) 924-5348
(434) 924-8335
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
(434) 295-1000
(434) 972-4266
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101265674
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000213625
UNISON
OH
01
—
000000503553
ANTHEM
OH
01
—
000000530392
ANTHEM
OH
05
—
2231669
—
OH
01
—
2499012
AETNA
OH
01
—
363766
WELLCARE
OH
01
—
363767
WELLCARE MEDICAID
OH
01
—
737681
BUCKEYE
OH
01
—
7545197
AETNA
OH
Enumeration date
10/14/2005
Last updated
07/09/2019
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