# SANG D TRAN

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1578589115
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 12502 | NV | — |
| 207Q00000X | Family Medicine Physician | C167687 | CA | Yes |
| 207Q00000X | Family Medicine Physician | R1038 | KY | — |

## Other

- **Enumeration date:** 07/15/2006
- **Last updated:** 03/07/2023

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000531714 | BCBS PROVIDER NUMBER | — |
| 01 | — | 12502 | NEVADA MEDICAL LICENSE | NV |
| 01 | — | 40225 | MEDICAL LICENSE | KY |
| 05 | — | 64113806 | — | KY |