MEDICARE: DR. TRANG QUYNH NGUYEN-LE D.O.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207R00000X	Internal Medicine Physician	5101017719	MI
2	207RN0300X	Nephrology Physician	DO1801	NV

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1043471758
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TRANG QUYNH NGUYEN-LE D.O.

Provider Business Mailing Address
First Line	:	2545 S BRUCE ST STE 200
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89169-1778
Country	:	US
Telephone Number	:	702-732-2438
Fax Number	:	702-737-5043

Provider Business Practice Location Address
First Line	:	3051 W HORIZON RIDGE PKWY STE 130
Second Line	:
City	:	HENDERSON
State	:	NV
Zip	:	89052-4690
Country	:	US
Telephone Number	:	702-726-6344
Fax Number	:	702-726-5828

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/24/2008
Last Update Date	:	06/03/2025

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