Healthcare Provider Details

I. General information

NPI: 1386088268
Provider Name (Legal Business Name): ANG LI M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/23/2013
Last Update Date: 10/05/2021
Certification Date: 10/05/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1400 S POTOMAC ST STE 250
AURORA CO
80012-4541
US

IV. Provider business mailing address

7725 W RENO AVE STE 150
OKLAHOMA CITY OK
73127-9712
US

V. Phone/Fax

Practice location:
  • Phone: 303-781-4485
  • Fax: 720-274-0064
Mailing address:
  • Phone: 405-682-3033
  • Fax: 405-792-8910

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2084S0012X
TaxonomySleep Medicine (Psychiatry & Neurology) Physician
License NumberDR.0061872
License Number StateCO
# 2
Primary TaxonomyY
Taxonomy Code2084N0400X
TaxonomyNeurology Physician
License NumberDR.0061872
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: