Provider Demographics
NPI:1841382553
Name:LE, ANNA N (MD)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:N
Last Name:LE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:4208 EVERGREEN LN
Mailing Address - Street 2:SUITE 213
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-3235
Mailing Address - Country:US
Mailing Address - Phone:703-642-7522
Mailing Address - Fax:703-642-7565
Practice Address - Street 1:4208 EVERGREEN LN
Practice Address - Street 2:SUITE 213
Practice Address - City:ANNANDALE
Practice Address - State:VA
Practice Address - Zip Code:22003-3235
Practice Address - Country:US
Practice Address - Phone:703-642-7522
Practice Address - Fax:703-642-6699
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-29
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VA0101230437261QM2500X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
No261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA010179785Medicaid
VAG02095Medicare PIN