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Individual

DR. KHOA DINH LE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
7575 W WASHINGTON AVE STE127, LAS VEGAS, NV 89128-4336
(702) 450-1717
(702) 947-6740
Mailing address
PO BOX 30102, DEPT #318, SALT LAKE CITY, UT 84130-0102
(702) 372-6575

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
1204
NV
207R00000X
Internal Medicine Physician
20A8968
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0639636
CA
05
100509024
NV
Enumeration date
12/19/2006
Last updated
06/23/2023
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