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NPI Code Detail

MEDICARE: DR. RYAN LI DO

MEDICARE: DR. RYAN LI DO
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
12085N0700XNeuroradiology PhysicianOT025546PA

General Provider Information

NPI Number : 1316513112
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RYAN LI DO
Provider Business Mailing Address
First Line : 3600 FORBES AVENUE
Second Line : FORBES TOWER - PLAZA LEVEL SUITE 140
City : PITTSBURGH
State : PA
Zip : 15213
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 200 LOTHROP ST
Second Line :
City : PITTSBURGH
State : PA
Zip : 15213-2536
Country : US
Telephone Number : 412-647-3530
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/02/2021
Last Update Date : 06/29/2026

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