Provider Demographics
NPI:1770634412
Name:LI, KHAN W (MD)
Entity Type:Individual
Prefix:DR
First Name:KHAN
Middle Name:W
Last Name:LI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:PO BOX 210127
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37221-0127
Mailing Address - Country:US
Mailing Address - Phone:615-986-1256
Mailing Address - Fax:615-383-0853
Practice Address - Street 1:2400 PATTERSON ST
Practice Address - Street 2:SUITE 319
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37203-1562
Practice Address - Country:US
Practice Address - Phone:615-986-1256
Practice Address - Fax:615-383-0853
Is Sole Proprietor?:No
Enumeration Date:2007-01-16
Last Update Date:2013-10-24
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
TN43173207T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207T00000XAllopathic & Osteopathic PhysiciansNeurological Surgery