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NPI Code Detail

MEDICARE: ANGEL LI MD

MEDICARE: ANGEL 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
1207P00000XEmergency Medicine Physician35.148470OH

General Provider Information

NPI Number : 1023646478
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGEL LI MD
Provider Business Mailing Address
First Line : 700 ACKERMAN RD STE 2120
Second Line :
City : COLUMBUS
State : OH
Zip : 43202-1559
Country : US
Telephone Number : 614-293-8487
Fax Number :
Provider Business Practice Location Address
First Line : 6655 S CIMARRON RD STE 100
Second Line :
City : LAS VEGAS
State : NV
Zip : 89113-2181
Country : US
Telephone Number : 702-233-7481
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/31/2020
Last Update Date : 09/26/2023

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Directions to “ ANGEL LI MD” Practice Location

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