Organization
INTERNAL MEDICINE OF FAIR OAKS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THIENQUANG LE M.D. (MANAGING PARTNER)
(703) 716-5404
Entity
Organization
Contact information
Practice address
3700 JOSEPH SIEWICK DR, SUITE 402, FAIRFAX, VA 22033-1744
(703) 716-5404
Mailing address
3700 JOSEPH SIEWICK DR, SUITE 402, FAIRFAX, VA 22033-1744
(703) 716-5404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
12/13/2008
Last updated
12/13/2008
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