Individual
DR. KHIEM QUOC TRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7306 MAPLE PL, ANNANDALE, VA 22003-3005
(703) 333-5001
(703) 333-5087
Mailing address
7306 MAPLE PL, ANNANDALE, VA 22003-3005
(330) 615-3205
(330) 615-3221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101244421
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0101244421
LICENSE
VA
05
—
1841407202
—
VA
Enumeration date
05/16/2007
Last updated
04/15/2017
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