Provider Demographics
NPI:1265802680
Name:LI, CHANGWEI (MD, PHD)
Entity type:Individual
Prefix:
First Name:CHANGWEI
Middle Name:
Last Name:LI
Suffix:
Gender:
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 1:1740 BARONNE ST
Mailing Address - Street 2:APT. 343
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70113-1349
Mailing Address - Country:US
Mailing Address - Phone:404-988-3738
Mailing Address - Fax:
Practice Address - Street 1:315 METAIRIE RD
Practice Address - Street 2:
Practice Address - City:METAIRIE
Practice Address - State:LA
Practice Address - Zip Code:70005-4300
Practice Address - Country:US
Practice Address - Phone:504-717-5111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-28
Last Update Date:2025-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAACA.200059171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist