Individual
DR. KEVIN TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3600 JOSEPH SIEWICK DR, FAIRFAX, VA 22033-1709
(703) 391-3129
(703) 295-9369
Mailing address
3998 FAIR RIDGE DR, SUITE 300, FAIRFAX, VA 22033-2921
(703) 295-9360
(703) 766-9725
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101250971
VA
207L00000X
Anesthesiology Physician
D73440
MD
207L00000X
Anesthesiology Physician
MD040240
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790945798
—
VA
05
—
334420700
—
MD
Enumeration date
06/12/2008
Last updated
04/28/2015
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