Provider Demographics
NPI:1780478354
Name:LE, TIEN ANGELA THUY (MD)
Entity type:Individual
Prefix:DR
First Name:TIEN
Middle Name:ANGELA THUY
Last Name:LE
Suffix:
Gender:
Credentials:MD
Other - Prefix:DR
Other - First Name:ANGELA
Other - Middle Name:THUY TIEN
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:1149 NEWELL DRIVE SUITE L4-100
Mailing Address - Street 2:
Mailing Address - City:GAINESVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32611-0001
Mailing Address - Country:US
Mailing Address - Phone:352-294-4900
Mailing Address - Fax:
Practice Address - Street 1:1149 NEWELL DRIVE SUITE L4-100
Practice Address - Street 2:
Practice Address - City:GAINESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32611-0001
Practice Address - Country:US
Practice Address - Phone:352-294-4900
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program