MEDICARE: DR. HUNG N LE MD

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
1	207R00000X	Internal Medicine Physician	01029	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0455357	OTHER	NC	UNITED HEALTHCARE ID
2	89369	OTHER	NC	MEDCOST ID
3	10769	OTHER	NC	BCBS ID
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1457413791
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HUNG N LE MD

Provider Business Mailing Address
First Line	:	3803 COMPUTER DR
Second Line	:	SUITE 201B
City	:	RALEIGH
State	:	NC
Zip	:	27609-6541
Country	:	US
Telephone Number	:	919-789-4406
Fax Number	:	919-785-9003

Provider Business Practice Location Address
First Line	:	3803 COMPUTER DR
Second Line	:	SUITE 201B
City	:	RALEIGH
State	:	NC
Zip	:	27609-6541
Country	:	US
Telephone Number	:	919-789-4406
Fax Number	:	919-785-9003

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/14/2006
Last Update Date	:	07/09/2007

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