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Individual

DR. HAO TUAN LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
200 E CHESTNUT ST, SERVICES BLDG. SUITE 303, LOUISVILLE, KY 40202-1831
(502) 629-5552
(502) 629-3132
Mailing address
PO BOX 776351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125050349
IL
207R00000X
Internal Medicine Physician
Primary
42126
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000592742
ANTHEM BCBS
KY
05
201180160
IN
05
7100062750
KY
01
K088000
MEDICARE KY - NIS
KY
Enumeration date
01/23/2008
Last updated
03/12/2018
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