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1760912588

NPI Code Detail

MEDICARE: HUY LE MD

MEDICARE: HUY 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	2017019522	MO
2	207R00000X	Internal Medicine Physician	81063	MN
3	207R00000X	Internal Medicine Physician	2020011170	MO

General Provider Information

NPI Number	:	1760912588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HUY LE MD

Provider Business Mailing Address
First Line	:	2925 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1321
Country	:	US
Telephone Number	:	612-262-9000
Fax Number	:	612-262-9035

Provider Business Practice Location Address
First Line	:	2925 CHICAGO AVE
Second Line	:
City	:	MINNEAPOLIS
State	:	MN
Zip	:	55407-1321
Country	:	US
Telephone Number	:	612-863-4000
Fax Number	:	763-236-3026

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

Provider Enumeration Date	:	06/14/2017
Last Update Date	:	01/21/2026

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Directions to “ HUY LE MD” Practice Location

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