Individual
EVA LI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
6845 ELM ST STE 600, MC LEAN, VA 22101-6027
(703) 748-9880
(703) 748-7123
Mailing address
PO BOX 37174, BALTIMORE, MD 21297-3174
(571) 423-5699
(571) 423-5698
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
0116027458
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0102205295
MEDICAL LICENSE
VA
Enumeration date
05/27/2014
Last updated
11/27/2023
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