Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207KA0200X | Allergist | D55098 | MD |
N | 207KA0200X | Allergist | MD34049 | DC |
NPI | 1396733291 |
---|---|
Provider Name | Dr. Huamin Henry Li |
First Address | Wheaton, MD 20902-2574 |
Second Address | Wheaton, MD 20902-2521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2005 |
Last Update Date | 23/10/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
02-00484 | UNITED HEALTHCARE (01) | MD |
2133588 | MAMSI (01) | MD |
233488 | KAISER (01) | MD |
675418 | NCPPO (01) | MD |
7657502 | AETNA (01) | MD |
C4540006 | CAREFIRST NCA (01) | MD |
H46782 | (02) | MD |