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Individual

BINH NGUYEN TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
5340 HOLY CROSS PKWY, MISHAWAKA, IN 46545-1470
(800) 860-8100
(574) 237-1341
Mailing address
100 E WAYNE ST STE 510, SOUTH BEND, IN 46601-2349
(574) 334-5390
(574) 334-5368

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
01060769A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000000533739
ANTHEM-BCBS
IN
05
1184610602
MI
05
200524500
IN
Enumeration date
09/20/2005
Last updated
01/03/2018
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