Individual
KHANH KHIEM PHAN LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
4301 W MARKHAM ST # 555, LITTLE ROCK, AR 72205-7199
(501) 686-5785
Mailing address
6012 PLATH ST, MATTHEWS, NC 28105-5971
(704) 241-8182
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2022-03268
NC
207R00000X
Internal Medicine Physician
30679
OK
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
Primary
2022-03268
NC
207RP1001X
Pulmonary Disease Physician
2022-03268
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1487074530
—
NC
Enumeration date
04/16/2014
Last updated
02/26/2026
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