| Khoa Le DO a PLLC | |
|
9465 Wakashan Ave Las Vegas NV 89149-0502 | |
| (702) 487-7055 | |
| Not Available |
| Full Name | Khoa Le DO a PLLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 9465 Wakashan Ave, Las Vegas, Nevada |
| Authorized Official Name and Position | Khoa Le (MANAGER) |
| Authorized Official Contact | 7024877055 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Khoa Le DO a PLLC Po Box 98956 Dept #11 Las Vegas NV 89193-8956 | Khoa Le DO a PLLC 9465 Wakashan Ave Las Vegas NV 89149-0502 Ph: (702) 487-7055 |
| NPI Number | 1285869057 |
|---|---|
| Provider Enumeration Date | 05/22/2009 |
| Last Update Date | 05/22/2009 |
| Medicare PECOS PAC ID | 7214075050 |
|---|---|
| Medicare Enrollment ID | O20091116000162 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285869057 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 1204 (Nevada) | Primary |
| Provider Name | Khoa D Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1922161736 PECOS PAC ID: 0143240754 Enrollment ID: I20070829000708 |
| Provider Name | Henry H Le |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1932510799 PECOS PAC ID: 1153547088 Enrollment ID: I20140729001651 |
| Provider Name | Jesse a Broyles |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1245895317 PECOS PAC ID: 0143607515 Enrollment ID: I20220524003170 |
| Provider Name | Samantha Nguyen |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1235794538 PECOS PAC ID: 2062837149 Enrollment ID: I20220701001857 |
| Provider Name | My Huyen Nguyen Le |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1225693138 PECOS PAC ID: 9830598838 Enrollment ID: I20220706002395 |
| Provider Name | Worawith Techathaveewat |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1750900593 PECOS PAC ID: 9032533732 Enrollment ID: I20230810003761 |
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