Li, Gang
Li, Gang is an individual health care provider with primary practice located at 1701 N Senate Blvd , Indianapolis IN 46202-1239. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Li, Gang can be contacted via phone (317) 274-0275.Contact Information
Primary practice address
1701 N Senate Blvd
Indianapolis IN 46202-1239
Phone: (317) 274-0275
Fax: (317) 274-0256
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | D0053730 | Maryland |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | D0053730 | Maryland |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | S9023 | Texas |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 01090514A | Indiana |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 01090514A | Indiana |
Profile Details
| NPI number | 1144217795 |
|---|---|
| LBN Legal business name | Li, Gang |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Sep 11th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144217795 | NPPES |
| Maryland | MEDICAID | 537300000 | |
| Maryland | MEDICAID | 200468910 | |
| Maryland | Other | 095200149 |
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