MEDICARE: DR. SHI-FENG 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
1	204F00000X	Transplant Surgery Physician	19670	OK

Other Identifiers

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

General Provider Information

NPI Number	:	1811906019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. SHI-FENG LI MD

Provider Business Mailing Address
First Line	:	940 NE 13TH ST STE 3000
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5008
Country	:	US
Telephone Number	:	405-271-7498
Fax Number	:	405-271-4329

Provider Business Practice Location Address
First Line	:	940 N.E. 13TH STREET
Second Line	:	SUITE 3000
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73104-5099
Country	:	US
Telephone Number	:	405-271-7498
Fax Number	:	405-271-4329

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/05/2006
Last Update Date	:	10/05/2018

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