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Individual

DR. NATHAN N TRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
11800 SUNRISE VALLEY DR STE 700, RESTON, VA 20191-5315
(703) 834-1473
(703) 318-7463
Mailing address
PO BOX 37189, BALTIMORE, MD 21297-3189
(571) 423-5699
(571) 423-5698

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101235718
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010191912
VA
Enumeration date
09/09/2005
Last updated
06/27/2023
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