MEDICARE: YI QUN 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	208000000X	Pediatrics Physician	203672	LA

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	:	1891829271
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	YI QUN LI M.D.

Provider Business Mailing Address
First Line	:	6316 ARGONNE BLVD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-3902
Country	:	US
Telephone Number	:	504-667-6993
Fax Number	:	504-270-1004

Provider Business Practice Location Address
First Line	:	6316 ARGONNE BLVD
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70124-3902
Country	:	US
Telephone Number	:	504-667-6993
Fax Number	:	504-270-1004

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

Provider Enumeration Date	:	03/15/2007
Last Update Date	:	05/18/2021

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Directions to “ YI QUN LI M.D.” Practice Location

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