Provider Demographics
NPI:1891817920
Name:LI, SANDY JUNJUN (MD)
Entity Type:Individual
Prefix:DR
First Name:SANDY
Middle Name:JUNJUN
Last Name:LI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:9600 BLACKWELL RD STE 500
Mailing Address - Street 2:
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20850-3783
Mailing Address - Country:US
Mailing Address - Phone:617-365-6727
Mailing Address - Fax:
Practice Address - Street 1:9601 BLACKWELL RD STE 400
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20850-3472
Practice Address - Country:US
Practice Address - Phone:301-340-1188
Practice Address - Fax:855-716-1603
Is Sole Proprietor?:No
Enumeration Date:2007-04-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MDD0085152207VE0102X
VA0101264707207VE0102X
DCMD046215207VE0102X
NC2015-00445207VE0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive Endocrinology