| Tao T Le, MD | |
|
914 N Dixie Ave, Suite 100, Elizabethtown, KY 42701-2520 | |
| (270) 765-6149 | |
| (270) 737-5235 |
| Full Name | Tao T Le |
|---|---|
| Gender | Male |
| Speciality | Allergy & Immunology - Allergy |
| Location | 914 N Dixie Ave, Elizabethtown, Kentucky |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285615435 | NPI | - | NPPES |
| 000000388373 | Other | KY | ANTHEM BCBS |
| 2649647000 | Other | KY | PASSPORT ADVANTAGE |
| 64113772 | Medicaid | KY | |
| 50009272 | Other | KY | PASSPORT HEALTH PLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207KA0200X | Allergy & Immunology - Allergy | 39835 (Kentucky) | Primary |
| Entity Name | University Of Louisville Physicians Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1366722316 PECOS PAC ID: 3476725599 Enrollment ID: O20111017000036 |
| Mailing Address | Practice Location Address |
|---|---|
| Tao T Le, MD 914 N Dixie Ave, Suite 100, Elizabethtown, KY 42701-2520 Ph: (270) 765-6149 | Tao T Le, MD 914 N Dixie Ave, Suite 100, Elizabethtown, KY 42701-2520 Ph: (270) 765-6149 |
Ha Thanh Le, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 914 N Dixie Ave, Suite 100, Elizabethtown, KY 42701 Phone: 270-765-6149 Fax: 270-737-5235 | |
Thao H Pham, M.D. Allergy & Immunology Medicare: Not Enrolled in Medicare Practice Location: 914 N Dixie Ave, Suite 100, Elizabethtown, KY 42701 Phone: 270-765-6149 Fax: 270-737-5235 |