Individual
JOSEPH Y. LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5371
(740) 446-5711
Mailing address
90 JACKSON PIKE, GALLIPOLIS, OH 45631-1560
(740) 446-5371
(740) 446-5711
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
17614
WV
208000000X
Pediatrics Physician
Primary
35-06-5386
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000006521
ANTHEM BCBS
WV
01
—
000000007473
ANTHEM BCBS
—
01
—
000000181974
UNISON MEDICAID
OH
01
—
001714062
MOUNTAIN STATE BCBS
—
05
—
0108698000
—
WV
01
—
0931595
MOLINA MEDICAID
OH
05
—
0931595
—
OH
01
—
310917085034
CARESOURCE MEDICAID
OH
01
—
370008779
RR MEDICARE
—
05
—
7100103520
—
KY
Enumeration date
06/01/2006
Last updated
02/21/2014
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