Ngoan Van Le, M.D.

Individual provider Active NPI Psychiatry Physician · Osawatomie, KS

NPI 1811053549 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1811053549
Entity type
Individual (NPI type 1)
Primary specialty
Psychiatry Physician 2084P0800X
License
04-19934 (KS)
Practice address
500 State Hospital Dr
Osawatomie, KS 66064-1813
Phone
(913) 755-7000
Fax
(913) 755-7127
NPI assigned
Dec 28, 2006
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
04-19934KSMDPsychiatry Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 04-19934 KS Yes

Addresses

Primary practice location

500 State Hospital Dr
Osawatomie, KS 66064-1813

Mailing address

500 State Hospital Dr
Osawatomie, KS 66064-1813
Phone (913) 755-7000

Other providers in Osawatomie, KS

All providers in Osawatomie, KS · Psychiatry Physician in Kansas

Sources for this page

Verify at the official NPI Registry.