| Provider / Organization | NPI | Date Certified |
|---|---|---|
| PHONG T LE | 1508220153 | 2024-09-06 |
Phong T Le is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1508220153. Registration indicates Phong T Le is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Radiology (Radiology: Vascular & Interventional Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians) (Radiology, ) (Student, Health Care, Student in an Organized Health Care Education/Training Program) (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Vascular & Interventional Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Vascular & Interventional Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Phong T Le M.D. |
| Practice Office Address | 1210 W FARIS RD GREENVILLE, SC US |
| Practice Office Telephone | 8645221800 |
| Practice Office Fax | 8645221806 |
| Mailing Address | 300 E MCBEE AVE FL 4 GREENVILLE, SC 296012842 US |
| Business Telephone | 8645228603 |
| Code | Practice | License No State |
|---|---|---|
| 2085R0204X | Allopathic & Osteopathic Physicians Radiology Radiology: Vascular & Interventional Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Vascular & Interventional Radiology Allopathic & Osteopathic Physicians Radiology | 4301502541
MI |
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | |
| 2085R0204X PRIMARY | Allopathic & Osteopathic Physicians Radiology Radiology: Vascular & Interventional Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Vascular & Interventional Radiology Allopathic & Osteopathic Physicians Radiology | 93191
SC |