Provider Demographics
NPI:1790741916
Name:HSIAO, LI-LI (MD PHD)
Entity Type:Individual
Prefix:
First Name:LI-LI
Middle Name:
Last Name:HSIAO
Suffix:
Gender:F
Credentials:MD PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:815 CENTRE ST
Mailing Address - Street 2:APT #2
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130-2735
Mailing Address - Country:US
Mailing Address - Phone:617-983-0654
Mailing Address - Fax:
Practice Address - Street 1:75 FRANCIS STREET, MRB 4
Practice Address - Street 2:RENAL DIVISION, BRIGHAM AND WOMENS HOSPITAL
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5727
Practice Address - Country:US
Practice Address - Phone:617-525-5963
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-04-25
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA159331207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrology