Provider Demographics
NPI:1780944652
Name:LI, HANHAN (MD)
Entity type:Individual
Prefix:
First Name:HANHAN
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1 VETERANS DR # 112D
Mailing Address - Street 2:
Mailing Address - City:MINNEAPOLIS
Mailing Address - State:MN
Mailing Address - Zip Code:55417-2309
Mailing Address - Country:US
Mailing Address - Phone:612-467-3532
Mailing Address - Fax:612-467-2232
Practice Address - Street 1:1 VETERANS DR # 112D
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55417-2309
Practice Address - Country:US
Practice Address - Phone:612-467-3532
Practice Address - Fax:612-467-2232
Is Sole Proprietor?:No
Enumeration Date:2012-05-24
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NE32561208800000X
MDD85583208800000X
MN66326208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology