Individual
HENRY T TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2209 JOHN R WOODEN DR, MARTINSVILLE, IN 46151-1840
(765) 349-6744
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
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
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