Individual
CARLOS A TACHE-LEON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 HOSPITAL DR, CHARLOTTESVILLE, VA 22908-0001
(434) 982-1632
(434) 982-4344
Mailing address
PO BOX 9007, CHARLOTTESVILLE, VA 22906-9007
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
0101245955
VA
390200000X
Student in an Organized Health Care Education/Training Program
0116016641
VA
Other
Enumeration date
05/17/2007
Last updated
07/14/2010
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