Provider Demographics
NPI:1073638656
Name:LE, KHANH N (MD)
Entity Type:Individual
Prefix:DR
First Name:KHANH
Middle Name:N
Last Name:LE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:26103 INTERSTATE 45 N
Mailing Address - Street 2:SUITE 100
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-1902
Mailing Address - Country:US
Mailing Address - Phone:281-764-9500
Mailing Address - Fax:281-764-9501
Practice Address - Street 1:26103 INTERSTATE 45 N
Practice Address - Street 2:SUITE 100
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-1902
Practice Address - Country:US
Practice Address - Phone:281-764-9500
Practice Address - Fax:281-764-9501
Is Sole Proprietor?:No
Enumeration Date:2007-03-20
Last Update Date:2014-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TXL4036207RG0100X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RG0100XAllopathic & Osteopathic PhysiciansInternal MedicineGastroenterology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX8AL660OtherBLUE CROSS
TX187615301Medicaid
TX8AL660OtherBLUE CROSS