Provider Demographics
NPI:1376589515
Name:LI, CHAOYANG (MD)
Entity Type:Individual
Prefix:DR
First Name:CHAOYANG
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Last Name:
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Mailing Address - Street 1:5450 FRANTZ RD STE 360
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43016-4141
Mailing Address - Country:US
Mailing Address - Phone:614-544-6155
Mailing Address - Fax:614-544-6370
Practice Address - Street 1:801 OHIOHEALTH BLVD
Practice Address - Street 2:STE 180
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015
Practice Address - Country:US
Practice Address - Phone:740-615-0227
Practice Address - Fax:740-615-0255
Is Sole Proprietor?:No
Enumeration Date:2006-06-22
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35083332L207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000322811OtherANTHEM BC BS
OH2460984Medicaid
OH9338551Medicare PIN
OH4118501Medicare PIN
P00216873Medicare ID - Type UnspecifiedRAILROAD MEDICARE
OH000000322811OtherANTHEM BC BS