Organization
ANNANDALE OB GYN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANNA NHA-KHANH LE MD (DIRECTOR)
(703) 642-7522
Entity
Organization
Contact information
Practice address
4208 EVERGREEN LN, STE 213, ANNANDALE, VA 22003-3235
(703) 642-7522
Mailing address
PO BOX 3028, MERRIFIELD, VA 22116-3028
(703) 642-7522
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010179785
—
VA
Enumeration date
12/09/2006
Last updated
07/01/2008
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