Connie D.Le, M.D., PC.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101237697 Issued in VA

Legal business name

CONNIE D.LE, M.D., PC.

Practice address

4208 Evergreen Lane #214
Annandale, VA 22003

Phone

(703) 642-6633

Fax

(703) 642-6699

NPI assigned

Apr 26, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Connie Le, M.D.NPI 1891886909

Title

President

Phone

(703) 642-6633

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Connie Diem Khanh Le, M.D.

  • Internal Medicine Physician
  • Annandale, VA
  • NPI 1891886909
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1335398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1335398400000",
    "number": "1497013528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4208 EVERGREEN LANE #214",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-642-6633",
            "fax_number": "703-642-6699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4208 EVERGREEN LANE #214",
            "city": "ANNANDALE",
            "state": "VA",
            "postal_code": "22003",
            "telephone_number": "703-642-6633",
            "fax_number": "703-642-6699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNIE D.LE, M.D., PC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-26",
        "last_updated": "2012-04-26",
        "status": "A",
        "authorized_official_last_name": "LE",
        "authorized_official_first_name": "CONNIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-642-6633",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101237697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Columbia Leasing Co., LLC (Annandale Healthcare Center)
• Communikids LLC
• Community Residences, Inc.
• Confident Dentistry Corporation (Total Dental Care)
• Connie D. Le, M.D, P.C
• Continental Enterprise Inc (Central Acupuncture)
• Alexandra Cooper
• Judith Ann Cornecelli, RN, LCSW,
• Devin Marie Correa, OTR/L
• William Cosby

• Internal Medicine Physician in Annandale, VA
• Providers in Annandale, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 26, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.