DR. ELTON YICHAO LI (NPI# 1144844564) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144844564 |
| Entity Type | Individual |
| Full Name | DR. ELTON YICHAO LI |
| Credential | MD |
| Practice Address |
22250 Providence Drive Suite #557 Southfield MI 48075-4818 |
| Practice Telephone | 2488493447 |
| Practice Fax Number | 2488498120 |
| Mailing Telephone | 2488493447 |
| Mailing Fax Number | 2488498120 |
| Enumeration Date | 2020-06-01 |
| Last Update Date | 2020-06-01 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 390200000X | Student in an Organized Health Care Education/Training Program | 4351046940 | MI | Student, Health Care |
| Street Address |
22250 PROVIDENCE DRIVE SUITE #557 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075-4818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477557734 | Michelle Baker | Physician Assistant | 22250 Providence Drive, 5th Flooor, Southfield, MI 48075 | 2005-06-02 |
| 1154949535 | Cory Xavier Cole | Internal Medicine | 22250 Providence Drive, Academic Im Pmb Suite #301, Southfield, MI 48075 | 2020-07-11 |
| 1235754813 | Harvey Sekhon | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, 3 Pmb #301, Southfield, MI 48075-4818 | 2020-06-10 |
| 1730703810 | Anudeep Kommineni | Internal Medicine | 22250 Providence Drive, 3pmb Suite 301, Southfield, MI 48075 | 2020-06-03 |
| 1699331496 | Alexander Zayid | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Suite #5577, Southfield, MI 48075-4818 | 2019-05-16 |
| 1528624798 | Karan Singh Sekhon | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Suite #557, Southfield, MI 48075-4818 | 2019-05-14 |
| 1164087888 | Kathleen Jeanne Marie Harnois | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Suite #703a, Southfield, MI 48075-4818 | 2019-05-08 |
| 1912561119 | Elise Jongeun Yoon | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Suite #601, Southfield, MI 48075-4818 | 2019-04-24 |
| 1497319511 | Dexter Tyler Powell | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Suite #401, Southfield, MI 48075-4818 | 2019-04-24 |
| 1831753110 | Uthara Rajasekhar | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Suite #301, Southfield, MI 48075-4818 | 2019-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 390200000X |
| Grouping | Student, Health Care |
| Classification | Student in an Organized Health Care Education/Training Program |
| An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |
| Notes: [1/1/2005: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184254401 | Lenora Jackson | Student in an Organized Health Care Education/Training Program | 16000 W 9 Mile Rd Ste 505, Southfield, MI 48075-4802 | 2020-01-26 |
| 1982266078 | Sugeetha Nithiananthan | Student in an Organized Health Care Education/Training Program | 22250 Providence, Suite 703a, Southfield, MI 48075-4818 | 2019-06-28 |
| 1215595228 | Harkirat Singh | Student in an Organized Health Care Education/Training Program | 22250 Providence Dr Ste 703a, Southfield, MI 48075-6215 | 2019-06-04 |
| 1962067223 | Gavin Martin Taylor | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive Suite #557, Southfield, MI 48075-4818 | 2019-05-02 |
| 1609430297 | Kirti Dhingra | Student in an Organized Health Care Education/Training Program | 1600 W. 9 Mile Road, Suit # 416, Southfield, MI 48075-4818 | 2019-04-29 |
| 1649834854 | Jason Daniel Nosrati | Student in an Organized Health Care Education/Training Program | 16001 W 9 Mile Rd Ste 416, Southfield, MI 48075-4818 | 2019-04-24 |
| 1134783251 | Ayat Ghosn | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive Suite #301, Southfield, MI 48075-4818 | 2019-04-24 |
| 1154985356 | Muhammad Daniyal Burhan | Student in an Organized Health Care Education/Training Program | 16001 W. 9 Mile Road 2nd Floor Depaul, Southfield, MI 48075-4818 | 2019-04-24 |
| 1215490461 | Lynna Alnimer | Student in an Organized Health Care Education/Training Program | 22250 Providence Drive, Academic Internal Medicine, Suite #301, Southfield, MI 48075-4818 | 2019-04-12 |
| 1811479462 | Damien Quarles | Student in an Organized Health Care Education/Training Program | 25381 Lois Ln, Southfield, MI 48075-1040 | 2018-08-30 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
Please comment or provide details below to improve the information on DR. ELTON YICHAO LI.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.