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Individual
DR. TRANG D PHAN
Active
Individual
DR. TRANG D PHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
21354-875
WI
152W00000X
Optometrist
Primary
34912TLG
CA
152W00000X
Optometrist
5488
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000376636
BLUE CROSS BLUE SHEILD
OH
01
—
1407817265
CIGNA PPO
OH
05
—
2604944
—
OH
01
—
341572960TL
SUMMACARE
OH
01
—
P00444080
RAILROAD MEDICARE
OH
Enumeration date
03/31/2006
Last updated
10/12/2022
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