Individual
DR. TUAN M TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
550 UNIVERSITY BLVD, INDIANAPOLIS, IN 46202-5149
(317) 274-4402
(317) 274-1008
Mailing address
250 N SHADELAND AVE, SUITE 130 - PROVIDER ENROLLMENT, INDIANAPOLIS, IN 46219-4959
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
01075335A
IN
207R00000X
Internal Medicine Physician
D0070225
MD
207RI0200X
Infectious Disease Physician
Primary
01075335A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201300020
—
IN
Enumeration date
06/14/2007
Last updated
03/14/2025
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