Individual
DR. XIAO RUI LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
7905 CALUMET AVE, HAMMOND CLINIC LLC, MUNSTER, IN 46321-1215
(219) 836-7214
(219) 836-4678
Mailing address
PO BOX 781076, DETROIT, MI 48278-1076
(317) 528-4800
(317) 865-1479
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01055296A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200358670
—
IN
01
—
473060P4
MEDICARE
IN
Enumeration date
06/14/2006
Last updated
03/20/2021
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