Healthcare Provider Details

I. General information

NPI: 1194106716
Provider Name (Legal Business Name): NEILL YUN LI MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2015
Last Update Date: 01/06/2025
Certification Date: 01/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5601 ARRINGDON PARK DR
MORRISVILLE NC
27560-5676
US

IV. Provider business mailing address

5601 ARRINGDON PARK DR
MORRISVILLE NC
27560-5676
US

V. Phone/Fax

Practice location:
  • Phone: 919-660-5066
  • Fax: 919-660-5044
Mailing address:
  • Phone: 919-660-5066
  • Fax: 919-660-5044

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207XS0106X
TaxonomyOrthopaedic Hand Surgery Physician
License Number69338
License Number StateMN
# 2
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number2022-01679
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: