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Individual
TIEN MARK DUC TRAN
Active
Individual
TIEN MARK DUC TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
A103175
CA
207R00000X
Internal Medicine Physician
Primary
ME90850
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1033143045
MAIKA HEALTHCARE, LLC NPI NUMBER
—
05
—
271356000
—
FL
01
—
ME90850
FLORIDA LICENSURE
FL
Enumeration date
03/25/2006
Last updated
02/17/2017
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