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NPI Code Detail

MEDICARE: WILLIAM Y LI MD

MEDICARE: WILLIAM Y LI MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine Physician01044028AIN

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1000000197898OTHERINANTHEM PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
310825482OTHERINCAQH NUMBER
49397229OTHERINPHCS PID NUMBER

General Provider Information

NPI Number : 1639148349
Entity Type Code : Individual
Provider Name (Legal Business Name) : WILLIAM Y LI MD
Provider Business Mailing Address
First Line : 1200 W WHITE RIVER BLVD
Second Line :
City : MUNCIE
State : IN
Zip : 47303-4988
Country : US
Telephone Number : 877-668-5621
Fax Number :
Provider Business Practice Location Address
First Line : 1 WALTER SCHOLER DR
Second Line :
City : LAFAYETTE
State : IN
Zip : 47909-6303
Country : US
Telephone Number : 765-448-8000
Fax Number : 765-448-8257
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/15/2006
Last Update Date : 01/25/2021

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Directions to “ WILLIAM Y LI MD” Practice Location

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