Provider Demographics
NPI:1497723456
Name:LE, THINH K (MD)
Entity Type:Individual
Prefix:DR
First Name:THINH
Middle Name:K
Last Name:LE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:8805 W UNION HILLS DR
Mailing Address - Street 2:STE 101
Mailing Address - City:PEORIA
Mailing Address - State:AZ
Mailing Address - Zip Code:85382-8153
Mailing Address - Country:US
Mailing Address - Phone:623-332-1441
Mailing Address - Fax:602-237-5238
Practice Address - Street 1:12361 W BOLA DR STE 109
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85374-9021
Practice Address - Country:US
Practice Address - Phone:623-332-1441
Practice Address - Fax:602-237-5238
Is Sole Proprietor?:No
Enumeration Date:2006-03-08
Last Update Date:2019-11-26
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
AZ31542207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ876170Medicaid
H91675Medicare UPIN
AZ876170Medicaid