Individual
HENRY T TRAN
Active
Individual
HENRY T TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
02004424A
IN
207L00000X
Anesthesiology Physician
11016612A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
264430I27
MEDICARE PTAN
IN
05
—
300054723
—
IN
Enumeration date
06/12/2012
Last updated
02/01/2024
Update your record
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