Provider Demographics
NPI:1881882470
Name:LI-NG, MELISSA (MD)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:
Last Name:LI-NG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 N COMMONS BLVD
Mailing Address - Street 2:
Mailing Address - City:MAYFIELD VILLAGE
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1589
Mailing Address - Country:US
Mailing Address - Phone:855-893-1034
Mailing Address - Fax:855-529-7660
Practice Address - Street 1:300 N COMMONS BLVD
Practice Address - Street 2:
Practice Address - City:MAYFIELD VILLAGE
Practice Address - State:OH
Practice Address - Zip Code:44143-1589
Practice Address - Country:US
Practice Address - Phone:855-893-1034
Practice Address - Fax:855-529-7660
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-09
Last Update Date:2025-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD036733207RE0101X
OH35.093343207RE0101X
NY233769207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
08226Medicare PIN
NY08226Medicare PIN