Healthcare Provider Details

I. General information

NPI: 1811215429
Provider Name (Legal Business Name): HIEU LE, MD, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2010
Last Update Date: 11/18/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3100 CARILLON PT
KIRKLAND WA
98033-7306
US

IV. Provider business mailing address

20531 76TH AVE SE
SNOHOMISH WA
98296-5166
US

V. Phone/Fax

Practice location:
  • Phone: 425-407-1000
  • Fax: 425-407-1112
Mailing address:
  • Phone: 425-407-1000
  • Fax: 425-407-1113

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number
License Number State

VIII. Authorized Official

Name: HIEU T LE
Title or Position: OWNER
Credential: MD
Phone: 425-407-1000