Individual
THAO TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
4755 OGLETOWN STANTON RD STE 1070, NEWARK, DE 19718-2200
(302) 733-1663
(302) 733-4533
Mailing address
PO BOX 917770, ORLANDO, FL 32891-0001
(813) 821-8038
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
C5-0012062
DE
363A00000X
Physician Assistant
PA9108833
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
015508900
—
FL
01
—
Y0T5A
BCBS
FL
Enumeration date
07/23/2015
Last updated
12/07/2025
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