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Individual

VAN T. TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
6511 JOHNSON DRIVE, MISSION FAMILY HEALTH CARE, MISSION, KS 66205
(913) 261-3300
(913) 261-3317
Mailing address
2330 SHAWNEE MISSION PKWY, MEDICAL ADMINISTRATIVE SERVICES OF KU MED, STE. 312, WESTWOOD, KS 66205-2005
(913) 588-9000
(913) 588-9822

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
05-28736
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
080172745
RR MEDICARE
01
10001635900
CHP PROVIDER NUMBER
05
100391560A
KS
01
157695XX
PREFERRED CARE OF NY
01
2107651
AETNA
01
25020041
BCBS PROVIDER NUMBER
01
25562039
BCBS KUMW UC
01
357581
FIRSTGUARD KUMW UC
01
3732660
AETNA KUMW UC
01
481159444
JAYHAWK TAX ID
Enumeration date
05/26/2006
Last updated
02/15/2010
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