Provider Demographics
NPI:1457413791
Name:LE, HUNG N (MD)
Entity Type:Individual
Prefix:DR
First Name:HUNG
Middle Name:N
Last Name:LE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:3803 COMPUTER DR
Mailing Address - Street 2:SUITE 201B
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-6541
Mailing Address - Country:US
Mailing Address - Phone:919-789-4406
Mailing Address - Fax:919-785-9003
Practice Address - Street 1:3803 COMPUTER DR
Practice Address - Street 2:SUITE 201B
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-6541
Practice Address - Country:US
Practice Address - Phone:919-789-4406
Practice Address - Fax:919-785-9003
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-14
Last Update Date:2007-07-09
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Provider Licenses
StateLicense IDTaxonomies
NC01029207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC0455357OtherUNITED HEALTHCARE ID
NC89369OtherMEDCOST ID
NC10769OtherBCBS ID
NC8910769Medicaid
NC10769OtherBCBS ID
NC8910769Medicaid