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Individual

JOSEPH Y. LI

Active
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Individual

JOSEPH Y. LI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

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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