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NPI Code Detail

MEDICARE: CALVIN LE

MEDICARE: CALVIN LE
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
1390200000XStudent in an Organized Health Care Education/Training Program0116040228VA
22085R0202XDiagnostic Radiology PhysicianV7941TX

General Provider Information

NPI Number : 1023647179
Entity Type Code : Individual
Provider Name (Legal Business Name) : CALVIN LE
Provider Business Mailing Address
First Line : 1215 LEE ST BOX 800377
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22908-0816
Country : US
Telephone Number : 434-924-9400
Fax Number : 434-243-6731
Provider Business Practice Location Address
First Line : 1215 LEE ST BOX 800377
Second Line :
City : CHARLOTTESVILLE
State : VA
Zip : 22908-0816
Country : US
Telephone Number : 434-924-9400
Fax Number : 434-243-6731
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/01/2020
Last Update Date : 01/30/2026

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Directions to “ CALVIN LE ” Practice Location

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