Provider Demographics
NPI:1629045588
Name:LE, NGOC HAI (DO)
Entity Type:Individual
Prefix:
First Name:NGOC
Middle Name:HAI
Last Name:LE
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:PO BOX 388
Mailing Address - Street 2:
Mailing Address - City:FISHERSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22939-0388
Mailing Address - Country:US
Mailing Address - Phone:540-932-5275
Mailing Address - Fax:540-932-5875
Practice Address - Street 1:1 GREEN HILLS DR
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:VA
Practice Address - Zip Code:24482-2654
Practice Address - Country:US
Practice Address - Phone:540-248-4487
Practice Address - Fax:540-248-5312
Is Sole Proprietor?:No
Enumeration Date:2006-03-01
Last Update Date:2023-11-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA044002207Q00000X
VA0102202211207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAGC1100Medicare PIN