Provider Demographics
NPI:1306429766
Name:LE, TU BANHAT (DO)
Entity type:Individual
Prefix:DR
First Name:TU
Middle Name:BANHAT
Last Name:LE
Suffix:
Gender:M
Credentials:DO
Other - Prefix:DR
Other - First Name:TU
Other - Middle Name:B
Other - Last Name:LE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1461 CASPIAN ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18104-8280
Mailing Address - Country:US
Mailing Address - Phone:602-466-4849
Mailing Address - Fax:
Practice Address - Street 1:2830 EASTON AVE
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-4204
Practice Address - Country:US
Practice Address - Phone:484-526-3555
Practice Address - Fax:833-822-5230
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-04
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOT020648207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine