Xiao Tian Li
in Atlanta, GA. Individual provider (NPI-1).
NPI number1346656972
StatusActive
Last updated in NPPESDec 16, 2021
Details
- NPI
- 1346656972
- Entity type
- Individual (NPI-1)
- Name
- Xiao Tian Li
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 3, 2014
- Certification date
- Dec 16, 2021
- Last updated
- Dec 16, 2021
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - DIAGNOSTIC RADIOLOGY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085N0700X | 85521 | GA | Yes | |
| 207R00000X | Internal Medicine | 007342 | GA |
Practice location
1364 Clifton Rd Ne # B115Atlanta, GA 30322-1059
Phone 404-712-4519
Mailing address
1364 Clifton Rd Ne # B115Atlanta, GA 30322-1059
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