MEDICARE: MR. ZEYAN LI M.D.

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	207R00000X	Internal Medicine Physician	01098586A	IN
2	390200000X	Student in an Organized Health Care Education/Training Program

General Provider Information

NPI Number	:	1891472155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ZEYAN LI M.D.

Provider Business Mailing Address
First Line	:	1600 HADDON AVE
Second Line	:
City	:	CAMDEN
State	:	NJ
Zip	:	08103-3101
Country	:	US
Telephone Number	:	929-253-8276
Fax Number	:

Provider Business Practice Location Address
First Line	:	1600 HADDON AVENUE
Second Line	:
City	:	CAMDEN
State	:	NJ
Zip	:	08103
Country	:	US
Telephone Number	:	856-757-3500
Fax Number	:

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

Provider Enumeration Date	:	06/29/2023
Last Update Date	:	06/01/2026

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