Provider Demographics
NPI:1811906019
Name:LI, SHI-FENG (MD)
Entity type:Individual
Prefix:DR
First Name:SHI-FENG
Middle Name:
Last Name:LI
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 NE 13TH ST STE 3000
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73104-5008
Mailing Address - Country:US
Mailing Address - Phone:405-271-7498
Mailing Address - Fax:405-271-4329
Practice Address - Street 1:940 N.E. 13TH STREET
Practice Address - Street 2:SUITE 3000
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73104-5099
Practice Address - Country:US
Practice Address - Phone:405-271-7498
Practice Address - Fax:405-271-4329
Is Sole Proprietor?:No
Enumeration Date:2006-08-05
Last Update Date:2018-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK19670204F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes204F00000XAllopathic & Osteopathic PhysiciansTransplant Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK200073600AMedicaid
OK243608705Medicare ID - Type Unspecified
OKOKA100426Medicare PIN
OK200073000AMedicaid
OKP01073094Medicare PIN