Healthcare Provider Details

I. General information

NPI: 1962434431
Provider Name (Legal Business Name): LI CHAI MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/07/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 FRANCIS STREET BRIGHAM AND WOMENS HOSPITAL BLOOD BANK
BOSTON MA
02115
US

IV. Provider business mailing address

111 CYPRESS ST BRIGHAM AND WOMENS PHYSICIANS ORGANIZATION
BROOKLINE MA
02445
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-8634
  • Fax: 617-277-9013
Mailing address:
  • Phone: 617-582-1200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZB0001X
TaxonomyBlood Banking & Transfusion Medicine Physician
License Number219645
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: