Provider Demographics
NPI:1093022675
Name:LI, XUEMEI (MD, MS)
Entity Type:Individual
Prefix:DR
First Name:XUEMEI
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:MD, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 HAYNES ST
Mailing Address - Street 2:2ND FLOOR
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-4113
Mailing Address - Country:US
Mailing Address - Phone:860-646-0670
Mailing Address - Fax:860-647-8208
Practice Address - Street 1:100 HAYNES ST
Practice Address - Street 2:2ND FLOOR
Practice Address - City:MANCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06040-4113
Practice Address - Country:US
Practice Address - Phone:860-646-0670
Practice Address - Fax:860-647-8208
Is Sole Proprietor?:No
Enumeration Date:2010-09-02
Last Update Date:2013-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT049770174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTD400067317Medicare PIN