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 |