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NPI Code Detail

MEDICARE: DR. HO- YIN ADRIAN LI MD

MEDICARE: DR. HO- YIN ADRIAN 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
1207L00000XAnesthesiology PhysicianC50572CA
2207LC0200XCritical Care Medicine (Anesthesiology) PhysicianC50572CA
3207LP2900XPain Medicine (Anesthesiology) PhysicianC50572CA
4207L00000XAnesthesiology Physician218452NY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265515290
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HO- YIN ADRIAN LI MD
Provider Business Mailing Address
First Line : 237 ESTUDILLO AVE
Second Line : SUITE 203
City : SAN LEANDRO
State : CA
Zip : 94577-4725
Country : US
Telephone Number : 415-316-9382
Fax Number : 510-315-8715
Provider Business Practice Location Address
First Line : 5801 E TAFT RD
Second Line :
City : SYRACUSE
State : NY
Zip : 13212-3291
Country : US
Telephone Number : 315-418-4140
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2006
Last Update Date : 09/05/2024

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Directions to “ DR. HO- YIN ADRIAN LI MD” Practice Location

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