Individual
XIAXIN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1432 S DOBSON RD, STE 107, MESA, AZ 85202-4768
(480) 412-4100
(480) 412-5154
Mailing address
PO BOX 26666, PHS PROVIDER ENROLLMENT, ALBUQUERQUE, NM 87125-6666
(505) 923-6770
(505) 923-5354
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
35088353
OH
2080P0207X
Pediatric Hematology & Oncology Physician
44416
AZ
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
MD2017-0041
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
606392
—
AZ
Enumeration date
05/07/2007
Last updated
04/06/2018
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