Individual
MAGGIE PHUONG TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
5109 NEW CUT RD, LOUISVILLE, KY 40214-2745
(502) 361-1197
(502) 361-0090
Mailing address
PO BOX 766351, CHICAGO, IL 60677-6351
(502) 588-9490
(502) 272-5116
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
TP315
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
65932329
—
KY
Enumeration date
03/25/2008
Last updated
07/21/2016
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