Healthcare Provider Details

I. General information

NPI: 1912047051
Provider Name (Legal Business Name): VU LE MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/07/2007
Last Update Date: 07/02/2026
Certification Date: 07/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1420 AHTANUM RIDGE DR
UNION GAP WA
98903-1839
US

IV. Provider business mailing address

PO BOX 719
SUNNYSIDE WA
98944-0719
US

V. Phone/Fax

Practice location:
  • Phone: 509-454-7700
  • Fax:
Mailing address:
  • Phone: 509-837-1617
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License NumberMD.MD.60246817
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: