Provider Demographics
NPI:1114120938
Name:LI, HONG CATHERINE (MD)
Entity Type:Individual
Prefix:DR
First Name:HONG
Middle Name:CATHERINE
Last Name:LI
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:6019 OLD ORCHARD RD
Mailing Address - Street 2:ARCADIA PATHOLOGY NETWORK, PLLC
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284-7038
Mailing Address - Country:US
Mailing Address - Phone:336-406-5297
Mailing Address - Fax:
Practice Address - Street 1:288 S RIDGECREST AVE
Practice Address - Street 2:
Practice Address - City:RUTHERFORDTON
Practice Address - State:NC
Practice Address - Zip Code:28139-2838
Practice Address - Country:US
Practice Address - Phone:828-286-5121
Practice Address - Fax:828-286-5658
Is Sole Proprietor?:No
Enumeration Date:2007-06-08
Last Update Date:2020-11-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301088931207ZB0001X, 207ZP0102X
NC2007-00136207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology
No207ZB0001XAllopathic & Osteopathic PhysiciansPathologyBlood Banking & Transfusion Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5909667Medicaid