Individual
TAM THU TRAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6408 SEVEN CORNERS PL, SUITE M, FALLS CHURCH, VA 22044-2011
(703) 237-7664
Mailing address
6408 SEVEN CORNERS PLACE, SUITE M, FALLS CHURCH, VA 22044-2011
(703) 237-7664
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
0101058824
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5822793
—
VA
Enumeration date
03/24/2006
Last updated
07/19/2010
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