Individual
LINH T LE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7203 RUDCHESTER CT, COLUMBIA, MO 65203-8963
(573) 808-7812
Mailing address
7203 RUDCHESTER CT, COLUMBIA, MO 65203-8963
(573) 808-7812
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
2017037821
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
043095102
—
TX
01
—
10012727
AMERIGROUP
—
01
—
110236778
MEDICARE RAILROAD
—
01
—
1599034
UNISYS
—
05
—
1599034
—
LA
05
—
1992749808
—
MO
01
—
7608123
AETNA
—
01
—
8105B6
BLUE CROSS BLUE SHEILD
TX
01
—
8G2567
BCBS
—
Enumeration date
06/15/2006
Last updated
10/31/2023
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