Basic Information
| Provider Information | |||||||||
| NPI: | 1396733291 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | LI | ||||||||
| FirstName: | HUAMIN | ||||||||
| MiddleName: | HENRY | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD, PHD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 11002 VEIRS MILL RD | ||||||||
| Address2: | 414 | ||||||||
| City: | WHEATON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209022574 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3019625800 | ||||||||
| FaxNumber: | 3019629585 | ||||||||
| Practice Location | |||||||||
| Address1: | 11002 VEIRS MILL RD | ||||||||
| Address2: | SUITE 414 | ||||||||
| City: | WHEATON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 209022521 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3019625800 | ||||||||
| FaxNumber: | 3019629585 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/13/2005 | ||||||||
| LastUpdateDate: | 10/23/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207KA0200X | D55098 | MD | Y | Allopathic & Osteopathic Physicians | Allergy & Immunology | Allergy | 207KA0200X | MD34049 | DC | N | Allopathic & Osteopathic Physicians | Allergy & Immunology | Allergy |
ID Information
| ID | Type | State | Issuer | Description | 675418 | 01 | MD | NCPPO | OTHER | 7657502 | 01 | MD | AETNA | OTHER | 02-00484 | 01 | MD | UNITED HEALTHCARE | OTHER | C4540006 | 01 | MD | CAREFIRST NCA | OTHER | 233488 | 01 | MD | KAISER | OTHER | 2133588 | 01 | MD | MAMSI | OTHER |