=====================================================
General NPI Number Information
=====================================================
NPI Number | 1851999106
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | THANHTHAO HOANG LE PA-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/09/2020
-----------------------------------------------------
Last Update Date | 07/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15001 SHADY GROVE RD STE 300
-----------------------------------------------------
City | ROCKVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20850-6353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-825-9701
-----------------------------------------------------
Fax | 301-762-5678
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 15001 SHADY GROVE RD STE 300
-----------------------------------------------------
City | ROCKVILLE
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20850-6353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-340-3252
-----------------------------------------------------
Fax | 301-340-1423
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | C0008066
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------