Provider Demographics
NPI:1578667804
Name:LE, HAMILTON SON TICH (MD)
Entity Type:Individual
Prefix:DR
First Name:HAMILTON
Middle Name:SON TICH
Last Name:LE
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Gender:M
Credentials:MD
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Mailing Address - Street 1:5300 N INDEPENDENCE AVE
Mailing Address - Street 2:SUITE 280
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73112-5556
Mailing Address - Country:US
Mailing Address - Phone:405-951-2131
Mailing Address - Fax:405-951-2135
Practice Address - Street 1:3433 NW 56TH ST
Practice Address - Street 2:SUITE 970
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73112-4455
Practice Address - Country:US
Practice Address - Phone:405-951-2131
Practice Address - Fax:405-951-2135
Is Sole Proprietor?:No
Enumeration Date:2006-09-08
Last Update Date:2017-08-03
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Provider Licenses
StateLicense IDTaxonomies
OK22359208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery