Individual
MINH KHAI TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O
Contact information
Practice address
10100 FAIRFAX BLVD, FAIRFAX, VA 22030-2000
(703) 679-1876
Mailing address
5000 COX RD, GLEN ALLEN, VA 23060-9263
(804) 968-5700
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0102202555
VA
Other
Enumeration date
02/04/2010
Last updated
03/20/2018
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