Individual
SUHAN LI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 NE NEFF RD, BEND, OR 97701-6015
(541) 706-6892
(541) 706-6813
Mailing address
PO BOX 6095, BEND, OR 97708-6095
(541) 706-6892
(547) 706-6813
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD169437
OR
207R00000X
Internal Medicine Physician
ME90723
FL
208M00000X
Hospitalist Physician
ME90723
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PENDING
MEDICARE
FL
05
—
PENDING
—
FL
Enumeration date
08/01/2006
Last updated
03/05/2019
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