Provider Demographics
NPI:1902901051
Name:LI, GE (MD)
Entity Type:Individual
Prefix:DR
First Name:GE
Middle Name:
Last Name:LI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:
Other - Last Name:LI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1660 S COLUMBIAN WAY
Mailing Address - Street 2:S116 6E VSPSHCS
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1532
Mailing Address - Country:US
Mailing Address - Phone:206-764-2485
Mailing Address - Fax:206-277-4856
Practice Address - Street 1:1660 S COLUMBIAN WAY
Practice Address - Street 2:S116 6E VSPSHCS
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1532
Practice Address - Country:US
Practice Address - Phone:206-764-2485
Practice Address - Fax:206-277-4856
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2022-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMD000403852084P0805X, 2084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
No2084P0805XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyGeriatric Psychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA56732Medicare UPIN
AB27427Medicare ID - Type Unspecified