Healthcare Provider Details

I. General information

NPI: 1225229651
Provider Name (Legal Business Name): TRU VAN LE M.D., P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2007
Last Update Date: 08/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6404 SEVEN CORNERS PL STE F
FALLS CHURCH VA
22044-2033
US

IV. Provider business mailing address

6404 SEVEN CORNERS PL STE F
FALLS CHURCH VA
22044-2033
US

V. Phone/Fax

Practice location:
  • Phone: 703-241-5695
  • Fax: 703-237-9896
Mailing address:
  • Phone: 703-241-5695
  • Fax: 702-237-9896

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number
License Number StateVA

VIII. Authorized Official

Name: DR. TRU VAN LE
Title or Position: OWNER
Credential: M.D.
Phone: 703-241-5695