MEDICARE: DR. CLARENCE T 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	2084N0400X	Neurology Physician	0101271544	VA

General Provider Information

NPI Number	:	1902285893
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CLARENCE T LI M.D.

Provider Business Mailing Address
First Line	:	11800 SUNRISE VALLEY DR STE 800
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-5320
Country	:	US
Telephone Number	:	703-709-1114
Fax Number	:

Provider Business Practice Location Address
First Line	:	11800 SUNRISE VALLEY DR STE 800
Second Line	:
City	:	RESTON
State	:	VA
Zip	:	20191-5320
Country	:	US
Telephone Number	:	703-709-1114
Fax Number	:

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

Provider Enumeration Date	:	05/25/2015
Last Update Date	:	02/25/2022

Similar Medicare Providers

1902425770 — PATRICIA GORE PA-C
Practice Location Address:

11800 SUNRISE VALLEY DR STE 800
RESTON, VA
20191-5320

Practice Phone: 703-709-1114
Practice Fax:

1386148112 — CATHERINE NOWELL CAMERON PA
Practice Location Address:

11800 SUNRISE VALLEY DR STE 800
RESTON, VA
20191-5320

Practice Phone: 703-709-1114
Practice Fax:

1881466464 — JULIANN CLEMENTE PA-C
Practice Location Address:

11800 SUNRISE VALLEY DR STE 800
RESTON, VA
20191-5320

Practice Phone: 703-709-1114
Practice Fax:

1235719691 — SAM SALMASSI MD
Practice Location Address:

1900 CAMPUS COMMONS DR STE 100-235
RESTON, VA
20191-1561

Practice Phone: 703-348-0701
Practice Fax: 703-952-8390

1265182794 — EVBU SHARON OSAKUE DDS
Practice Location Address:

1801 ROBERT FULTON DR
RESTON, VA
20191-5461

Practice Phone: 703-495-3333
Practice Fax:

1215229943 — JACQUELYN SCHAEFER MEINHARDT DNP, MSHS, FNP-BC
Practice Location Address:

10701 PARKRIDGE BLVD
RESTON, VA
20191-4427

Practice Phone: 202-909-5746
Practice Fax:

Directions to “ DR. CLARENCE T LI M.D.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.