Provider Demographics
NPI:1528005030
Name:CONGTANG, LENO HAI (MD)
Entity Type:Individual
Prefix:DR
First Name:LENO
Middle Name:HAI
Last Name:CONGTANG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 4610
Mailing Address - Street 2:
Mailing Address - City:LAKE CHARLES
Mailing Address - State:LA
Mailing Address - Zip Code:70606-4610
Mailing Address - Country:US
Mailing Address - Phone:337-312-1446
Mailing Address - Fax:337-312-1490
Practice Address - Street 1:1000 WALTERS STREET
Practice Address - Street 2:
Practice Address - City:LAKE CHARLES
Practice Address - State:LA
Practice Address - Zip Code:70607
Practice Address - Country:US
Practice Address - Phone:337-475-8429
Practice Address - Fax:337-475-8415
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-01
Last Update Date:2010-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA023050207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
LA1494119Medicaid
LA1494119Medicaid
5H797Medicare PIN
LAG61307Medicare UPIN