Individual
THANH TRA NGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
600 EAST BLVD 4TH FLOOR HOSPITALISTS STE, ELKHART, IN 46514-2483
(574) 389-7393
(574) 647-1094
Mailing address
3245 HEALTH DR STE 100, GRANGER, IN 46530-1380
(574) 647-3725
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01093097A
IN
207R00000X
Internal Medicine Physician
125.077307
IL
208M00000X
Hospitalist Physician
01093097A
IN
Other
Enumeration date
05/17/2021
Last updated
03/30/2026
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