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
Fax: (317) 274-0256
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144217795 NPPES
Maryland MEDICAID 537300000
Maryland MEDICAID 200468910
Maryland Other 095200149

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