Healthcare Provider Details

I. General information

NPI: 1225425333
Provider Name (Legal Business Name): XIAOHUAN LI M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 07/06/2026
Certification Date: 07/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1011 PEMBERTON HILL RD STE 101
APEX NC
27502-4266
US

IV. Provider business mailing address

1011 PEMBERTON HILL RD STE 101
APEX NC
27502-4266
US

V. Phone/Fax

Practice location:
  • Phone: 984-600-3160
  • Fax: 704-705-2409
Mailing address:
  • Phone: 984-600-3160
  • Fax: 704-705-2409

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number2018-01804
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: