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Individual

DUC DUY TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3525 OLENTANGY RIVER RD, SUITE 5360, COLUMBUS, OH 43214-3937
(614) 340-7747
(614) 340-7742
Mailing address
100 E CAMPUS VIEW BLVD, SUITE 160, COLUMBUS, OH 43235-4647
(614) 396-4733
(614) 396-4742

Taxonomy

Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
35-06-8276-T
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000026603
ANTHEM
OH
05
0153275
OH
01
027978400
FEDERAL BLACK LUNG
01
127593300
US DEPARTMENT OF LABOR
01
341212779020
MEDICAL MUTUAL
OH
01
P00394388
RR MEDICARE
OH
Enumeration date
05/17/2006
Last updated
05/22/2008
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