Provider Demographics
NPI:1144336397
Name:LE, QUAN P (MD)
Entity type:Individual
Prefix:DR
First Name:QUAN
Middle Name:P
Last Name:LE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:4069 RAINIER AVE S STE A
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-1162
Mailing Address - Country:US
Mailing Address - Phone:206-721-2402
Mailing Address - Fax:207-725-9870
Practice Address - Street 1:4069 RAINIER AVE S STE A
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-1162
Practice Address - Country:US
Practice Address - Phone:206-721-2402
Practice Address - Fax:206-725-9870
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
WAMD00022714208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice