Provider Demographics
NPI:1942438023
Name:LE, KHOI DINH (MD)
Entity type:Individual
Prefix:DR
First Name:KHOI
Middle Name:DINH
Last Name:LE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1912 76TH AVENUE CT
Mailing Address - Street 2:
Mailing Address - City:GREELEY
Mailing Address - State:CO
Mailing Address - Zip Code:80634-8639
Mailing Address - Country:US
Mailing Address - Phone:812-580-8682
Mailing Address - Fax:970-628-9951
Practice Address - Street 1:3938 JOHN F KENNEDY PKWY UNIT 11B
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-3087
Practice Address - Country:US
Practice Address - Phone:970-567-2378
Practice Address - Fax:970-628-9951
Is Sole Proprietor?:No
Enumeration Date:2009-06-26
Last Update Date:2025-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR.0053846208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery