Li, Suyang

Li, Suyang is an individual health care provider with primary practice located at 840 Harrison Ave , Boston MA 02118-2905. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neuroradiology, Allopathic & Osteopathic Physicians / Diagnostic Radiology. Allopathic & Osteopathic Physicians / Diagnostic Radiology is his primary health care specialty. Li, Suyang can be contacted via phone (617) 638-6610.

Contact Information

Primary practice address
840 Harrison Ave Boston MA 02118-2905
Fax: (617) 638-6616
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 1018647 Massachusetts
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 1018647 Massachusetts

Profile Details

NPI number 1255835955
LBN Legal business name Li, Suyang
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 19th, 2018
Last updated May 21st, 2024 - about 6 months 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1255835955 NPPES
Massachusetts MEDICAID 110202923A

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