Individual
DR. LUAN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2245 GATEWAY ACCESS PT, SUITE 315, RALEIGH, NC 27607-3077
(919) 510-8900
(919) 510-8977
Mailing address
2245 GATEWAY ACCESS POINTE, SUITE 315, RALEIGH, NC 27607-3078
(919) 510-8900
(919) 510-8977
Taxonomy
Speciality
Code
Description
License number
State
202K00000X
Phlebology Physician
Primary
200301302
NC
2086S0129X
Vascular Surgery Physician
200301302
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1548206022
MEDICARE RAILROAD INDIVIDUAL PTAN
NC
01
—
2323842
GROUP MEDICARE PTAN
NC
01
—
DE0112
GROUP MEDICARE RAILROAD PTAN
NC
Enumeration date
03/24/2006
Last updated
06/26/2017
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