Provider Demographics
NPI:1316698160
Name:DAU T. LE, M.D., LLC.
Entity type:Organization
Organization Name:DAU T. LE, M.D., LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAU
Authorized Official - Middle Name:THANH
Authorized Official - Last Name:LE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-671-8746
Mailing Address - Street 1:5444 VIRGINIA BEACH BLVD STE 104
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-1758
Mailing Address - Country:US
Mailing Address - Phone:757-671-8746
Mailing Address - Fax:757-363-8626
Practice Address - Street 1:5444 VIRGINIA BEACH BLVD STE 104
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-1758
Practice Address - Country:US
Practice Address - Phone:757-671-8746
Practice Address - Fax:757-363-8626
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-01-13
Last Update Date:2022-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty